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NPI Code Detail

MEDICARE: ABIGAIL BELL FNP

MEDICARE: ABIGAIL BELL FNP
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
1363L00000XNurse Practitioner18534TN

General Provider Information

NPI Number : 1659798254
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL BELL FNP
Provider Business Mailing Address
First Line : 6041 BEACON LIGHT RD
Second Line :
City : WHITESBURG
State : TN
Zip : 37891-8946
Country : US
Telephone Number : 865-567-9503
Fax Number :
Provider Business Practice Location Address
First Line : 5475 TECH CENTER DR STE 105
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-2336
Country : US
Telephone Number : 719-223-4621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2014
Last Update Date : 06/25/2022

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