Individual
AARON ALLEN BELLOW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4475 S EASTERN AVE, LAS VEGAS, NV 89119-7826
(702) 669-5840
(702) 650-5729
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 579-3298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
647389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205931656
SMA MEDICAID
NV
05
—
149196203
—
TX
01
—
V111603
SMA MEDICARE
NV
Enumeration date
09/13/2006
Last updated
11/10/2015
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