Provider Demographics
NPI:1144931171
Name:BELA, ASUMPTA LEKEANJIA (RN)
Entity type:Individual
Prefix:MS
First Name:ASUMPTA
Middle Name:LEKEANJIA
Last Name:BELA
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 1:16402 ALCONBURY DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3887
Mailing Address - Country:US
Mailing Address - Phone:857-233-1196
Mailing Address - Fax:
Practice Address - Street 1:16402 ALCONBURY DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3887
Practice Address - Country:US
Practice Address - Phone:857-233-1196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN200005074163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health