Provider Demographics
NPI:1063034072
Name:BELL, LINDA KRISTY (RN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:KRISTY
Last Name:BELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7942 HARRIET TUBMAN LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4013
Mailing Address - Country:US
Mailing Address - Phone:443-791-9372
Mailing Address - Fax:
Practice Address - Street 1:7942 HARRIET TUBMAN LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-4013
Practice Address - Country:US
Practice Address - Phone:443-791-9372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR116154163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR116154OtherMBON LICENSURE