| 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 |