Provider Demographics
NPI:1336446574
Name:BELL, RONDA LYNN (ARNP)
Entity Type:Individual
Prefix:
First Name:RONDA
Middle Name:LYNN
Last Name:BELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 WESTPORT PKWY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-5315
Mailing Address - Country:US
Mailing Address - Phone:817-693-2500
Mailing Address - Fax:
Practice Address - Street 1:2401 WESTPORT PKWY
Practice Address - Street 2:SUITE 140
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-5315
Practice Address - Country:US
Practice Address - Phone:817-693-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-24
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP123729363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily