Basic Information
| Provider Information | |||||||||
| NPI: | 1487662441 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BELL | ||||||||
| FirstName: | MARLA | ||||||||
| MiddleName: | LYNN | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 611 COURTYARD DR | ||||||||
| Address2: | BLDG 600 | ||||||||
| City: | HILLSBOROUGH | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08844 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9087220030 | ||||||||
| FaxNumber: | 9087220188 | ||||||||
| Practice Location | |||||||||
| Address1: | 611 COURTYARD DR | ||||||||
| Address2: | BLDG 600 | ||||||||
| City: | HILLSBOROUGH | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08844 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9087220030 | ||||||||
| FaxNumber: | 9087220188 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/04/2006 | ||||||||
| LastUpdateDate: | 12/14/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | N011058800 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.