Provider Demographics
NPI:1811394760
Name:BELL, AMARIS
Entity type:Individual
Prefix:
First Name:AMARIS
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6817 S EASTERN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4684
Mailing Address - Country:US
Mailing Address - Phone:702-373-5299
Mailing Address - Fax:
Practice Address - Street 1:3650 SOUTH POINTE CIR STE 112
Practice Address - Street 2:
Practice Address - City:LAUGHLIN
Practice Address - State:NV
Practice Address - Zip Code:89029-0422
Practice Address - Country:US
Practice Address - Phone:725-203-2810
Practice Address - Fax:725-204-0138
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-20
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV854015363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health