Healthcare Provider Details

I. General information

NPI: 1730050527
Provider Name (Legal Business Name): MADISON LYNN BELL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11925 S STATE ST
DRAPER UT
84020-7735
US

IV. Provider business mailing address

186 E FUTURE WAY APT 580
DRAPER UT
84020-2209
US

V. Phone/Fax

Practice location:
  • Phone: 801-545-8000
  • Fax:
Mailing address:
  • Phone: 801-375-5125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number13554394-3102
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number13554394-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: