Cheryl Ann Bell, OFFICE MANAGER

Individual provider Active NPI Registered Nurse · Shoreview, MN

NPI 1386189389 · NPPES record last updated Dec 29, 2016

Key facts

NPI
1386189389
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R180157-0 (MN)
Practice address
571 Lakeridge Dr
Shoreview, MN 55126-2321
Phone
(763) 202-7722
NPI assigned
Dec 29, 2016
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
R138148-5MNMDRegistered Nurse
R180157-0MNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R180157-0 MN Yes
Registered Nurse 163W00000X R138148-5 MN

Addresses

Primary practice location

571 Lakeridge Dr
Shoreview, MN 55126-2321

Mailing address

72 Meadowlark Dr
PO Box 152
Hudson, WI 54016-7798
Phone (651) 245-3991

Other identifiers

IdentifierTypeStateIssuer
6122056MedicaidMN

Other providers in Shoreview, MN

All providers in Shoreview, MN · Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.