Healthcare Provider Details

I. General information

NPI: 1275446486
Provider Name (Legal Business Name): WILLIAM WELLS AUD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: LUKE WELLS AUD

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 21ST AVE S # 6-10
NASHVILLE TN
37232-0014
US

IV. Provider business mailing address

1215 21ST AVE S # 6-10
NASHVILLE TN
37232-0014
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number2390
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: