Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 4704249376 | MI |
NPI | 1003206749 |
---|---|
Provider Name | Marianne Bell |
First Address | Pinckney, MI 48169-9311 |
Second Address | Pinckney, MI 48169-9311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2015 |
Last Update Date | 03/02/2015 |