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NPI Code Detail

MEDICARE: MICHELLE R WELLS PMHNP-BC

MEDICARE: MICHELLE R WELLS PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner337292AZ

General Provider Information

NPI Number : 1578953923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE R WELLS PMHNP-BC
Provider Business Mailing Address
First Line : 1815 W SAINT MARYS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2653
Country : US
Telephone Number : 866-425-1912
Fax Number :
Provider Business Practice Location Address
First Line : 1815 W SAINT MARYS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2653
Country : US
Telephone Number : 866-425-1912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2015
Last Update Date : 06/20/2026

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Directions to “ MICHELLE R WELLS PMHNP-BC” Practice Location

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