| Doctor Name: | D-ANN MARIE WELLER |
| NPI Number: | 1124013362 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R167862 |
| Business Practice Address: | 1000 Waterman Way Lake County Hospitalist Care Tavares, FL - 327785266 |
| Business Phone Number: | 3527423578 |
| Business Fax Number: | 3527423581 |
| Mailing Address: | 1737 David Walker Dr, TAVARES |
| State: | FL |
| Postal Code: | 327785745 |
| Phone Number: | 3527423578 |
| Fax Number: | 3527423581 |
| NPI Enumeration Date: | 09/14/2005 |
| NPI Last Update Date: | 06/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R167862 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |