| Doctor Name: | COURTENAY A WELLS |
| NPI Number: | 1093824815 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, FWP |
| License Number: | RN: 28142089A |
| Business Practice Address: | 5450 W State Road 26 Suite 300 Rossville, IN - 460659478 |
| Business Phone Number: | 7653792222 |
| Business Fax Number: | 7653793222 |
| Mailing Address: | Po Box 4699, LAFAYETTE |
| State: | IN |
| Postal Code: | 479034699 |
| Phone Number: | 7654492732 |
| Fax Number: | 7654491196 |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 01/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN: 28142089A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |