Provider Demographics
NPI:1669734620
Name:BELLO, NANCY (DO)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:BELLO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2851 S AVENUE B BLDG 20
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7726
Mailing Address - Country:US
Mailing Address - Phone:928-336-2434
Mailing Address - Fax:928-336-2435
Practice Address - Street 1:2851 S AVENUE B BLDG 20
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-7726
Practice Address - Country:US
Practice Address - Phone:928-344-2434
Practice Address - Fax:928-344-2435
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35C.0002932084N0400X
AZR21272084N0400X
AZ0073372084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology