Provider Demographics
NPI:1407359649
Name:BELL, ALEXIS E
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:E
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1131 STATE ROUTE 14
Mailing Address - Street 2:
Mailing Address - City:PENN YAN
Mailing Address - State:NY
Mailing Address - Zip Code:14527-9631
Mailing Address - Country:US
Mailing Address - Phone:315-694-2680
Mailing Address - Fax:315-694-2680
Practice Address - Street 1:1131 STATE ROUTE 14
Practice Address - Street 2:
Practice Address - City:PENN YAN
Practice Address - State:NY
Practice Address - Zip Code:14527-9631
Practice Address - Country:US
Practice Address - Phone:315-694-2680
Practice Address - Fax:315-694-2680
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY699223163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management