Provider Demographics
NPI:1275211393
Name:BELL, CARMEN (RD)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 N MAPLE ST UNIT 2C
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-4395
Mailing Address - Country:US
Mailing Address - Phone:615-306-2118
Mailing Address - Fax:
Practice Address - Street 1:1019 N MAPLE ST UNIT 2C
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4395
Practice Address - Country:US
Practice Address - Phone:615-306-2118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4157133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered