MEDICARE: GLENDA JEAN BELL ARNPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	D6214679	OK

General Provider Information

NPI Number	:	1407065782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLENDA JEAN BELL ARNPC

Provider Business Mailing Address
First Line	:	11313 FIDDLESTICKS
Second Line	:
City	:	YUKON
State	:	OK
Zip	:	73099-8110
Country	:	US
Telephone Number	:	405-373-4854
Fax Number	:	405-945-5478

Provider Business Practice Location Address
First Line	:	2017 W I 35 FRONTAGE RD
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-8504
Country	:	US
Telephone Number	:	405-757-3340
Fax Number	:	405-757-3341

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	06/17/2014

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Directions to “ GLENDA JEAN BELL ARNPC” Practice Location

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