Healthcare Provider Details

I. General information

NPI: 1770282048
Provider Name (Legal Business Name): SCOTT D WELLS FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PORTSMOUTH AVE
STRATHAM NH
03885-2585
US

IV. Provider business mailing address

PO BOX 416
NEWFIELDS NH
03856-0416
US

V. Phone/Fax

Practice location:
  • Phone: 603-772-3600
  • Fax:
Mailing address:
  • Phone: 603-828-3232
  • Fax: 603-377-3719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP16393
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number084904-21
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN10004231
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number084904-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: