Provider Demographics
NPI:1609134998
Name:BELL, VIVIENNE CORINNA (CNIM, REPT)
Entity Type:Individual
Prefix:MS
First Name:VIVIENNE
Middle Name:CORINNA
Last Name:BELL
Suffix:
Gender:F
Credentials:CNIM, REPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 W END AVE
Mailing Address - Street 2:SUITE 1610
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2526
Mailing Address - Country:US
Mailing Address - Phone:615-928-6075
Mailing Address - Fax:615-457-1447
Practice Address - Street 1:1801 W END AVE
Practice Address - Street 2:SUITE 1610
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2526
Practice Address - Country:US
Practice Address - Phone:615-928-6075
Practice Address - Fax:615-457-1447
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-25
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCNIM 2570174400000X
COREPT-1258174400000X
COCNIM- 2570246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No174400000XOther Service ProvidersSpecialist