Provider Demographics
NPI:1194174276
Name:ST. MARIE-BELL, PHILLIPA (RN)
Entity type:Individual
Prefix:
First Name:PHILLIPA
Middle Name:
Last Name:ST. MARIE-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 1:940 W OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34787-1802
Mailing Address - Country:US
Mailing Address - Phone:407-654-7520
Mailing Address - Fax:
Practice Address - Street 1:940 W OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:FL
Practice Address - Zip Code:34787-1802
Practice Address - Country:US
Practice Address - Phone:407-654-7520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 3193462163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse