| NPI | 1528826898 |
|---|---|
| Former Name | BRYANNA LYNN WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0149706) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |