| Doctor Name: | ANNA M WELLS |
| NPI Number: | 1215276977 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 2013001555 |
| Business Practice Address: | 1006 N Jesse James Rd Suite #1 Excelsior Springs, MO - 64024 |
| Business Phone Number: | 8166309411 |
| Business Fax Number: | 8166309417 |
| Mailing Address: | 1006 N Jesse James Rd Suite #1, EXCELSIOR SPRINGS |
| State: | MO |
| Postal Code: | 64024 |
| Phone Number: | 8166309411 |
| Fax Number: | 8166309417 |
| NPI Enumeration Date: | 01/31/2013 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2013001555 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |