Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 221982 | LA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 221982 | LA |
NPI | 1225794431 |
---|---|
Provider Name | Merissa Bell |
First Address | Baton Rouge, LA 70816-2973 |
Second Address | Baton Rouge, LA 70816-3246 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2021 |
Last Update Date | 11/11/2021 |