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NPI Code Detail

MEDICARE: MR. CLAUDE WILLIAM WELLS IV APRN, FNP-BC

MEDICARE:  MR. CLAUDE WILLIAM WELLS IV APRN, FNP-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
1363LF0000XFamily Nurse PractitionerA004687AR

General Provider Information

NPI Number : 1801240395
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CLAUDE WILLIAM WELLS IV APRN, FNP-BC
Provider Business Mailing Address
First Line : 218 CHURCH ST
Second Line :
City : STAMPS
State : AR
Zip : 71860-2816
Country : US
Telephone Number : 870-533-1300
Fax Number :
Provider Business Practice Location Address
First Line : 218 CHURCH ST
Second Line :
City : STAMPS
State : AR
Zip : 71860-2816
Country : US
Telephone Number : 870-533-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2016
Last Update Date : 04/20/2016

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Directions to “ MR. CLAUDE WILLIAM WELLS IV APRN, FNP-BC” Practice Location

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