Provider Demographics
NPI:1639668221
Name:BELL, ZENNA E
Entity Type:Individual
Prefix:MRS
First Name:ZENNA
Middle Name:E
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ZENNA
Other - Middle Name:ERICA
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:699 BLOOMFIELD AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-2462
Mailing Address - Country:US
Mailing Address - Phone:860-655-9627
Mailing Address - Fax:860-322-5704
Practice Address - Street 1:699 BLOOMFIELD AVE STE 2
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-2462
Practice Address - Country:US
Practice Address - Phone:860-655-9627
Practice Address - Fax:860-322-5704
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTACTIVE363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health