| Doctor Name: | MS. WENDY SUE WELLS |
| NPI Number: | 1194932970 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 466196 |
| Business Practice Address: | 8850 Auburn Folsom Rd Ste A Granite Bay, CA - 957466525 |
| Business Phone Number: | 9167919104 |
| Business Fax Number: | 9167919104 |
| Mailing Address: | 4100 Clover Valley Rd, ROCKLIN |
| State: | CA |
| Postal Code: | 956771512 |
| Phone Number: | 9167919104 |
| Fax Number: | 9167919104 |
| NPI Enumeration Date: | 05/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 466196 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |