Provider Demographics
NPI:1457828436
Name:BELLOWS, NOEL THERESE (RN)
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:THERESE
Last Name:BELLOWS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16349 GREENBRIAR CT
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-6113
Mailing Address - Country:US
Mailing Address - Phone:952-356-2294
Mailing Address - Fax:
Practice Address - Street 1:16349 GREENBRIAR CT
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-6113
Practice Address - Country:US
Practice Address - Phone:952-356-2294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2465307163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse