Healthcare Provider Details

I. General information

NPI: 1972149698
Provider Name (Legal Business Name): SARAH WELLS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2019
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 UNIVERSE BLVD
JUNO BEACH FL
33408-2657
US

IV. Provider business mailing address

700 UNIVERSE BLVD
JUNO BEACH FL
33408-2657
US

V. Phone/Fax

Practice location:
  • Phone: 561-694-6212
  • Fax: 561-694-6224
Mailing address:
  • Phone: 561-694-6212
  • Fax: 561-694-6224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11008817
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9527190
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: