MEDICARE: AIMEE BELL NP-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
1	363LF0000X	Family Nurse Practitioner	71005749A	IN

General Provider Information

NPI Number	:	1841668472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE BELL NP-C

Provider Business Mailing Address
First Line	:	436 E WASHINGTON BLVD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46802-3210
Country	:	US
Telephone Number	:	866-460-3567
Fax Number	:	260-209-7111

Provider Business Practice Location Address
First Line	:	436 E WASHINGTON BLVD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46802-3210
Country	:	US
Telephone Number	:	260-209-7111
Fax Number	:	260-222-2835

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

Provider Enumeration Date	:	09/14/2015
Last Update Date	:	10/11/2018

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