Doctor Name: | SHERYLE D WELLEN |
NPI Number: | 1548224918 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | ARNP2971592 |
Business Practice Address: | 863 Nazareth Pike Nazareth, PA - 180649001 |
Business Phone Number: | 4843733260 |
Business Fax Number: | |
Mailing Address: | Po Box 783311, PHILADELPHIA |
State: | PA |
Postal Code: | 191783311 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/13/2006 |
NPI Last Update Date: | 12/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP2971592 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |