Provider Demographics
NPI:1184462210
Name:BELLA, CARINE
Entity type:Individual
Prefix:
First Name:CARINE
Middle Name:
Last Name:BELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3456 ANDREW CT APT 301
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2362
Mailing Address - Country:US
Mailing Address - Phone:240-360-8420
Mailing Address - Fax:
Practice Address - Street 1:3456 ANDREW CT APT 301
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-2362
Practice Address - Country:US
Practice Address - Phone:240-360-8420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide