Provider Demographics
NPI:1568866317
Name:JITTA BELL, KAREN K (ARNP, CRNA, MPH)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:K
Last Name:JITTA BELL
Suffix:
Gender:F
Credentials:ARNP, CRNA, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 NW 204TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-2459
Mailing Address - Country:US
Mailing Address - Phone:954-274-8762
Mailing Address - Fax:
Practice Address - Street 1:824 NW 204TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-2459
Practice Address - Country:US
Practice Address - Phone:954-274-8762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9222277367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered