MEDICARE: ARTIS BEST WELLS CRNA

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
1	163W00000X	Registered Nurse	28097974A	IN
2	163W00000X	Registered Nurse	1035476	KY
3	367500000X	Certified Registered Nurse Anesthetist	3000415	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	134960003	OTHER	IN	INDIANA MEDICARE
3	K060730	OTHER	KY	KENTUCKY MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841284874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTIS BEST WELLS CRNA

Provider Business Mailing Address
First Line	:	7129 STACY RD
Second Line	:
City	:	CHARLESTOWN
State	:	IN
Zip	:	47111-9626
Country	:	US
Telephone Number	:	812-256-8323
Fax Number	:

Provider Business Practice Location Address
First Line	:	7129 STACY RD
Second Line	:
City	:	CHARLESTOWN
State	:	IN
Zip	:	47111-9626
Country	:	US
Telephone Number	:	812-256-8323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	06/26/2013

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Directions to “ ARTIS BEST WELLS CRNA” Practice Location

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