Provider Demographics
NPI:1407065782
Name:BELL, GLENDA JEAN (ARNPC)
Entity Type:Individual
Prefix:
First Name:GLENDA
Middle Name:JEAN
Last Name:BELL
Suffix:
Gender:F
Credentials:ARNPC
Other - Prefix:
Other - First Name:GLENDA
Other - Middle Name:JEAN
Other - Last Name:WHITNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNPC
Mailing Address - Street 1:11313 FIDDLESTICKS
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-8110
Mailing Address - Country:US
Mailing Address - Phone:405-373-4854
Mailing Address - Fax:405-945-5478
Practice Address - Street 1:2017 W I 35 FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-8504
Practice Address - Country:US
Practice Address - Phone:405-757-3340
Practice Address - Fax:405-757-3341
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKD6214679363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily