Provider Demographics
NPI:1720977192
Name:BELL, NICOLA ANTOINETTE (RN)
Entity type:Individual
Prefix:
First Name:NICOLA
Middle Name:ANTOINETTE
Last Name:BELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9420 E PLUM HARBOR WAY
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-6355
Mailing Address - Country:US
Mailing Address - Phone:754-204-2192
Mailing Address - Fax:754-204-2192
Practice Address - Street 1:9420 E PLUM HARBOR WAY
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-6355
Practice Address - Country:US
Practice Address - Phone:754-204-2192
Practice Address - Fax:754-204-2192
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9499428163WH0200X, 163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WH0200XNursing Service ProvidersRegistered NurseHome Health