Provider Demographics
NPI:1588972749
Name:BELL, NATHAN (PA -C)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:
Last Name:BELL
Suffix:
Gender:M
Credentials:PA -C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2150 SE SALERNO RD STE 110
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-6572
Mailing Address - Country:US
Mailing Address - Phone:772-781-2735
Mailing Address - Fax:772-781-2739
Practice Address - Street 1:2150 SE SALERNO RD STE 110
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-6572
Practice Address - Country:US
Practice Address - Phone:772-781-2735
Practice Address - Fax:772-781-2739
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL085003850363A00000X
IN10002389A363AS0400X
FLPA9119071363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant