NPI | 1578694022 |
---|---|
Former Name | CELENA GAIL WELLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3006547) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KY 3006547) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN9484013) | |
363L00000X Nurse Practitioner (Licence: FL APRN9484013) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9484013) | |
Enumeration Date | 2007-03-08 |
Last Update Date | 2021-04-28 |