Provider Demographics
NPI:1134013642
Name:BELL, AVA (CAA)
Entity type:Individual
Prefix:
First Name:AVA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:CAA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3312 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-4720
Mailing Address - Country:US
Mailing Address - Phone:715-571-1433
Mailing Address - Fax:
Practice Address - Street 1:3000 NEW BERN AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1231
Practice Address - Country:US
Practice Address - Phone:919-350-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant