Healthcare Provider Details

I. General information

NPI: 1134050792
Provider Name (Legal Business Name): WELLS FAMILY MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 ROUTE 27 UNIT B-2
RAYMOND NH
03077-1200
US

IV. Provider business mailing address

126 ROUTE 27 UNIT B-2
RAYMOND NH
03077-1200
US

V. Phone/Fax

Practice location:
  • Phone: 603-828-3232
  • Fax: 603-377-3719
Mailing address:
  • Phone: 603-828-3232
  • Fax: 603-377-3719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SCOTT D WELLS
Title or Position: OWNER
Credential: APRN
Phone: 603-828-3232