Provider Demographics
NPI:1487850244
Name:BELL, AMY MAIRSON (NP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MAIRSON
Last Name:BELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:1775 RED BARN RD
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-3030
Mailing Address - Country:US
Mailing Address - Phone:760-941-9844
Mailing Address - Fax:760-630-5716
Practice Address - Street 1:2067 W VISTA WAY
Practice Address - Street 2:200A
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-6031
Practice Address - Country:US
Practice Address - Phone:760-941-9844
Practice Address - Fax:760-630-5716
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2021-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CARN 453349363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP20771Medicare UPIN