Provider Demographics
NPI:1477395309
Name:BELL, ISAIAH ALAN (RN)
Entity type:Individual
Prefix:
First Name:ISAIAH
Middle Name:ALAN
Last Name:BELL
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 WOODWAY CLUB DR APT 1021
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8316
Mailing Address - Country:US
Mailing Address - Phone:910-632-4545
Mailing Address - Fax:
Practice Address - Street 1:1007 WALKER AVENUE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27412-0001
Practice Address - Country:US
Practice Address - Phone:910-632-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC341141163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse