Provider Demographics
NPI:1972047587
Name:BELL, BRITTANY ROSE (PA-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ROSE
Last Name:BELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ROSE
Other - Last Name:BELINGHERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2975 HAWK HILL LN
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93405-8328
Mailing Address - Country:US
Mailing Address - Phone:805-215-0423
Mailing Address - Fax:
Practice Address - Street 1:35 CASA ST STE 320
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93405-1894
Practice Address - Country:US
Practice Address - Phone:805-250-4844
Practice Address - Fax:805-785-0356
Is Sole Proprietor?:No
Enumeration Date:2016-12-15
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54069363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant