Provider Demographics
NPI:1255895199
Name:BELL, MERINDA BARBARA (FNP-C)
Entity type:Individual
Prefix:
First Name:MERINDA
Middle Name:BARBARA
Last Name:BELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MERINDA
Other - Middle Name:BARBARA
Other - Last Name:HAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:302 NORTHVIEW ST
Mailing Address - Street 2:
Mailing Address - City:CATLIN
Mailing Address - State:IL
Mailing Address - Zip Code:61817-9764
Mailing Address - Country:US
Mailing Address - Phone:217-260-8983
Mailing Address - Fax:
Practice Address - Street 1:770 PARK EAST BLVD STE B
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-0786
Practice Address - Country:US
Practice Address - Phone:765-714-4344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILF01190890363LF0000X
IN71011467A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily