Provider Demographics
NPI:1336732445
Name:BELL, SHYANNE SHROYER
Entity Type:Individual
Prefix:
First Name:SHYANNE
Middle Name:SHROYER
Last Name:BELL
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 1:64 WILDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-5177
Mailing Address - Country:US
Mailing Address - Phone:304-694-3288
Mailing Address - Fax:
Practice Address - Street 1:380 ENTERPRISE DR APT 101
Practice Address - Street 2:
Practice Address - City:GASSAWAY
Practice Address - State:WV
Practice Address - Zip Code:26624-7908
Practice Address - Country:US
Practice Address - Phone:304-694-3288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-19
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant