Provider Demographics
NPI:1598315046
Name:ABSHIR, BELLA (A-GNP)
Entity Type:Individual
Prefix:
First Name:BELLA
Middle Name:
Last Name:ABSHIR
Suffix:
Gender:F
Credentials:A-GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:789 FELLSWAY W
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-1217
Mailing Address - Country:US
Mailing Address - Phone:781-888-8211
Mailing Address - Fax:
Practice Address - Street 1:789 FELLSWAY W
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-1217
Practice Address - Country:US
Practice Address - Phone:781-888-8211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program