Provider Demographics
NPI:1366542417
Name:BELL, GRACE (CNP)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 637910
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-7910
Mailing Address - Country:US
Mailing Address - Phone:513-853-4706
Mailing Address - Fax:513-853-4743
Practice Address - Street 1:10600 MONTGOMERY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4463
Practice Address - Country:US
Practice Address - Phone:513-794-5600
Practice Address - Fax:513-281-1908
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP08903363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2698577Medicaid
OHP00675346OtherRAILROAD MEDICARE
INP00310632OtherRAILROAD MEDICARE
IN172430NMedicare PIN
OHP00675346OtherRAILROAD MEDICARE
OHNP21952Medicare PIN