Provider Demographics
NPI:1487662441
Name:BELL, MARLA LYNN (NP)
Entity Type:Individual
Prefix:
First Name:MARLA
Middle Name:LYNN
Last Name:BELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 COURTYARD DR
Mailing Address - Street 2:BLDG 600
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844
Mailing Address - Country:US
Mailing Address - Phone:908-722-0030
Mailing Address - Fax:908-722-0188
Practice Address - Street 1:611 COURTYARD DR
Practice Address - Street 2:BLDG 600
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844
Practice Address - Country:US
Practice Address - Phone:908-722-0030
Practice Address - Fax:908-722-0188
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJN011058800363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
043641BP7Medicare ID - Type Unspecified
P18464Medicare UPIN