| Doctor Name: | ANDREA F WELLS |
| NPI Number: | 1154442853 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMT |
| License Number: | 11712 |
| Business Practice Address: | 136 Mill St Suite 120 Gahanna, OH - 432303059 |
| Business Phone Number: | 6144720992 |
| Business Fax Number: | 6144720994 |
| Mailing Address: | 1599 Newport Loop N, GROVE CITY |
| State: | OH |
| Postal Code: | 431238177 |
| Phone Number: | 6148717674 |
| Fax Number: | 6148717674 |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 10/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 11712 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |