NPI | 1497905061 |
---|---|
Professional Name | MARK WELLS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009967) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.022431) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024175708) | |
Enumeration Date | 2008-09-19 |
Last Update Date | 2018-03-19 |