Individual
MYRA JADE BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
970 S SILVER LAKE ST STE 102, OCONOMOWOC, WI 53066-3802
(262) 569-7100
Mailing address
3186 CONSERVANCY ESTATES LN, SUN PRAIRIE, WI 53590-9241
(262) 212-0794
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11190
WI
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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