Provider Demographics
NPI:1841556487
Name:BELL, ALICE THORNTON (APRN)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:THORNTON
Last Name:BELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 WALNUT CT
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-9018
Mailing Address - Country:US
Mailing Address - Phone:316-733-1751
Mailing Address - Fax:
Practice Address - Street 1:1515 N SKYVIEW ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-1146
Practice Address - Country:US
Practice Address - Phone:316-312-0002
Practice Address - Fax:316-440-3200
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-74855-111364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health