Doctor Name: | LAURA WELLS |
NPI Number: | 1881032662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3008107 |
Business Practice Address: | 1107 Bellefonte Rd Flatwoods, KY - 411392503 |
Business Phone Number: | 6068340125 |
Business Fax Number: | 6068363743 |
Mailing Address: | Po Box 1595, ASHLAND |
State: | KY |
Postal Code: | 411051595 |
Phone Number: | 6064086200 |
Fax Number: | 6064084775 |
NPI Enumeration Date: | 06/13/2013 |
NPI Last Update Date: | 04/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3008107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |