Provider Demographics
NPI:1811934367
Name:BELL, CARRI L (CRNA)
Entity type:Individual
Prefix:
First Name:CARRI
Middle Name:L
Last Name:BELL
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CARRI
Other - Middle Name:L
Other - Last Name:PONIGAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:P.O. BOX 551420
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33355-3900
Mailing Address - Country:US
Mailing Address - Phone:800-243-3839
Mailing Address - Fax:855-851-4405
Practice Address - Street 1:6101 PINE RIDGE RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-3900
Practice Address - Country:US
Practice Address - Phone:239-304-4862
Practice Address - Fax:239-304-5157
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN274142367500000X
FLAPRN9408147367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017405000Medicaid
OH2298222Medicaid
FL017405000Medicaid