Healthcare Provider Details

I. General information

NPI: 1073983193
Provider Name (Legal Business Name): DANA BELL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2015
Last Update Date: 11/15/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5424 19TH ST STE 300
LUBBOCK TX
79407-2164
US

IV. Provider business mailing address

5424 19TH ST STE 300
LUBBOCK TX
79407-2164
US

V. Phone/Fax

Practice location:
  • Phone: 806-743-9355
  • Fax: 806-743-9363
Mailing address:
  • Phone: 806-795-4391
  • Fax: 806-796-1354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP130173
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number679081
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: