Provider Demographics
NPI:1740560432
Name:BELL- ROGERS, NICOLE ALYSSE (PMHNP, FNP-C, RN)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:ALYSSE
Last Name:BELL- ROGERS
Suffix:
Gender:F
Credentials:PMHNP, FNP-C, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N DUPONT HWY
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-2202
Mailing Address - Country:US
Mailing Address - Phone:302-857-6729
Mailing Address - Fax:
Practice Address - Street 1:310 PEBBLE VALLEY PL
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-9465
Practice Address - Country:US
Practice Address - Phone:302-632-7307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-25
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEAPN-0001636363LS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool