Provider Demographics
NPI:1538183231
Name:SCHELL, EVA C (CRNP)
Entity type:Individual
Prefix:MS
First Name:EVA
Middle Name:C
Last Name:SCHELL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 886
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36461-0886
Mailing Address - Country:US
Mailing Address - Phone:251-267-3900
Mailing Address - Fax:251-267-3909
Practice Address - Street 1:53 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:FRISCO CITY
Practice Address - State:AL
Practice Address - Zip Code:36445
Practice Address - Country:US
Practice Address - Phone:251-267-3900
Practice Address - Fax:251-267-3909
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL1057327363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51509038OtherBCBS PROVIDER NUMBER
AL51509038OtherBCBS PROVIDER NUMBER