| Doctor Name: | ELISABETH B WELLS |
| NPI Number: | 1972985745 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 101.0109743 |
| Business Practice Address: | 859 Old County Rd Waitsfield, VT - 056736221 |
| Business Phone Number: | 8024963838 |
| Business Fax Number: | 8024965586 |
| Mailing Address: | Po Box 547, Attn: Cvmc Finance Dept. BARRE |
| State: | VT |
| Postal Code: | 056410547 |
| Phone Number: | 8024963838 |
| Fax Number: | 8024965586 |
| NPI Enumeration Date: | 06/29/2015 |
| NPI Last Update Date: | 07/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 101.0109743 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |