Individual
BERNITA BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
36 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4904
(573) 803-1771
(573) 303-5861
Mailing address
36 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4904
(573) 803-1771
(573) 303-5861
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209004199
IL
364SF0001X
Family Health Clinical Nurse Specialist
Primary
102112
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
742975504001
—
IL
Enumeration date
07/12/2006
Last updated
12/17/2012
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