Catina Bell

Individual provider Active NPI Licensed Practical Nurse · Fort Stewart, GA

NPI 1245636679 · NPPES record last updated Nov 12, 2014

Key facts

NPI
1245636679
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
2-058975 (AL)
Practice address
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone
(912) 435-7131
NPI assigned
Nov 12, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2-058975ALMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2-058975 AL Yes

Addresses

Primary practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Mailing address

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Other providers in Fort Stewart, GA

All providers in Fort Stewart, GA · Licensed Practical Nurse in Georgia

Sources for this page

Verify at the official NPI Registry.