Provider Demographics
NPI:1558753467
Name:BELL, REBECCA WRIGHT (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:WRIGHT
Last Name:BELL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 BEARDSLEY LN
Mailing Address - Street 2:D101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-4945
Mailing Address - Country:US
Mailing Address - Phone:512-338-9840
Mailing Address - Fax:512-338-0863
Practice Address - Street 1:300 BEARDSLEY LN
Practice Address - Street 2:D101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-4945
Practice Address - Country:US
Practice Address - Phone:512-338-9840
Practice Address - Fax:512-338-0863
Is Sole Proprietor?:No
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127025363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily