| NPI | 1972791903 |
|---|---|
| Former Name | ANGELA COLLEEN WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 12952) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2013-03-12 |