Provider Demographics
NPI:1114134608
Name:BELL, SABRINA MARIA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:MARIA
Last Name:BELL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11305 KEPPLER CT
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-6242
Mailing Address - Country:US
Mailing Address - Phone:216-663-8482
Mailing Address - Fax:
Practice Address - Street 1:11305 KEPPLER CT
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-6242
Practice Address - Country:US
Practice Address - Phone:216-663-8482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN079508164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2352092Medicaid