Provider Demographics
NPI:1396396529
Name:BELL, NATHAN (APRN)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:
Last Name:BELL
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5235 S DURANGO DR STE 2
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-0197
Mailing Address - Country:US
Mailing Address - Phone:702-685-8585
Mailing Address - Fax:702-973-7377
Practice Address - Street 1:5235 S DURANGO DR STE 2
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-0197
Practice Address - Country:US
Practice Address - Phone:702-685-8585
Practice Address - Fax:702-973-7377
Is Sole Proprietor?:No
Enumeration Date:2019-09-29
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-78972-071363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily