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NPI Code Detail

MEDICARE: VALERIE WELLS APRN,BC

MEDICARE:   VALERIE  WELLS  APRN,BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LC0200XCritical Care Medicine Nurse Practitioner2089632FL
2363LA2200XAdult Health Nurse PractitionerAPRN2089632FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255344784
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE WELLS APRN,BC
Provider Business Mailing Address
First Line : 11851 SW 51ST ST
Second Line :
City : COOPER CITY
State : FL
Zip : 33330-4413
Country : US
Telephone Number : 305-585-8508
Fax Number :
Provider Business Practice Location Address
First Line : 1611 NW 12TH AVE
Second Line : JACKSON MEMORIAL HOSPITAL - DTC 316 E
City : MIAMI
State : FL
Zip : 33136-1005
Country : US
Telephone Number : 305-585-8508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 06/19/2024

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Directions to “ VALERIE WELLS APRN,BC” Practice Location

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