MEDICARE: TRENT BELL CRNA

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	367500000X	Certified Registered Nurse Anesthetist	358504-4406	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669435673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRENT BELL CRNA

Provider Business Mailing Address
First Line	:	250 W 300 N
Second Line	:
City	:	ROOSEVELT
State	:	UT
Zip	:	84066-2336
Country	:	US
Telephone Number	:	435-722-6163
Fax Number	:	435-722-9291

Provider Business Practice Location Address
First Line	:	250 W 300 N
Second Line	:
City	:	ROOSEVELT
State	:	UT
Zip	:	84066-2336
Country	:	US
Telephone Number	:	435-722-6163
Fax Number	:	435-722-9291

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	11/30/2007

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Directions to “ TRENT BELL CRNA” Practice Location

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