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NPI Code Detail

MEDICARE: ERIK WELLS APRN

MEDICARE: ERIK WELLS APRN
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
1163W00000XRegistered Nurse9367454FL
2363LF0000XFamily Nurse PractitionerARNP9367454FL

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 : 1528509312
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIK WELLS APRN
Provider Business Mailing Address
First Line : 38135 MARKET SQ
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33542-7505
Country : US
Telephone Number : 352-567-0188
Fax Number : 813-355-5101
Provider Business Practice Location Address
First Line : 2020 TOWN CENTER BLVD STE B
Second Line :
City : BRANDON
State : FL
Zip : 33511-2906
Country : US
Telephone Number : 813-315-1500
Fax Number : 813-377-1686
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2017
Last Update Date : 02/28/2020

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Directions to “ ERIK WELLS APRN” Practice Location

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