Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 2020005812 | NC |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5014028 | NC |
NPI | 1174111637 |
---|---|
Provider Name | Dwayne Eddie Bell |
First Address | Holly Springs, NC 27540-3332 |
Second Address | Durham, NC 27704-2702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2021 |
Last Update Date | 07/02/2021 |