Provider Demographics
NPI:1902295033
Name:BELL, RIAN HARRIS (STNA)
Entity Type:Individual
Prefix:MR
First Name:RIAN
Middle Name:HARRIS
Last Name:BELL
Suffix:
Gender:M
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 GRAMONT AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-2255
Mailing Address - Country:US
Mailing Address - Phone:937-829-0046
Mailing Address - Fax:
Practice Address - Street 1:70 GRAMONT AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-2255
Practice Address - Country:US
Practice Address - Phone:937-829-0046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401693001014376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide