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NPI Code Detail

MEDICARE: STEPHANIE BELL MSN, APRN, AGNP-C

MEDICARE:   STEPHANIE  BELL  MSN, APRN, AGNP-C
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
1363LA2200XAdult Health Nurse PractitionerAG09190098IL

General Provider Information

NPI Number : 1730739467
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BELL MSN, APRN, AGNP-C
Provider Business Mailing Address
First Line : 918 TIMBERLAKE DR
Second Line :
City : EDWARDSVILLE
State : IL
Zip : 62025-4107
Country : US
Telephone Number : 618-334-6309
Fax Number :
Provider Business Practice Location Address
First Line : 2407 CORPORATE CTR STE C
Second Line :
City : GRANITE CITY
State : IL
Zip : 62040-4268
Country : US
Telephone Number : 618-334-6309
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2019
Last Update Date : 06/07/2020

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Directions to “ STEPHANIE BELL MSN, APRN, AGNP-C” Practice Location

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