MEDICARE: MS. ANN CHIAMAKA OPERA-WELLS

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
1	363LF0000X	Family Nurse Practitioner	1154903	TX

General Provider Information

NPI Number	:	1851139257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANN CHIAMAKA OPERA-WELLS

Provider Business Mailing Address
First Line	:	5201 BALSAM DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-8295
Country	:	US
Telephone Number	:	469-396-2868
Fax Number	:

Provider Business Practice Location Address
First Line	:	2825 BELT LINE RD
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-7011
Country	:	US
Telephone Number	:	469-814-0456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2024
Last Update Date	:	07/19/2024

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