Provider Demographics
NPI:1063666840
Name:BELL, CATHLEEN M (RN)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:M
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 1:330 FORD ST
Mailing Address - Street 2:CITY HALL
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-1626
Mailing Address - Country:US
Mailing Address - Phone:315-393-2390
Mailing Address - Fax:315-393-9771
Practice Address - Street 1:330 FORD ST
Practice Address - Street 2:CITY HALL
Practice Address - City:OGDENSBURG
Practice Address - State:NY
Practice Address - Zip Code:13669-1626
Practice Address - Country:US
Practice Address - Phone:315-393-2390
Practice Address - Fax:315-393-9771
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310013163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse