| Doctor Name: | RENEE WELLS |
| NPI Number: | 1316338189 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 21420274 |
| Business Practice Address: | 709 Se 2nd St Bryant, AR - 720224062 |
| Business Phone Number: | 5012403579 |
| Business Fax Number: | 5018473010 |
| Mailing Address: | Po Box 25851, LITTLE ROCK |
| State: | AR |
| Postal Code: | 722215851 |
| Phone Number: | 5012403579 |
| Fax Number: | 5018473010 |
| NPI Enumeration Date: | 02/14/2015 |
| NPI Last Update Date: | 02/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 21420274 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |