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NPI Code Detail

MEDICARE: BECKY WELLS A.P.R.N.

MEDICARE: BECKY WELLS A.P.R.N.
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 PractitionerR779487MS

Other Identifiers

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

General Provider Information

NPI Number : 1902828379
Entity Type Code : Individual
Provider Name (Legal Business Name) : BECKY WELLS A.P.R.N.
Provider Business Mailing Address
First Line : 411 OAK ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2504
Country : US
Telephone Number : 513-984-1800
Fax Number : 513-984-4909
Provider Business Practice Location Address
First Line : 411 OAK ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2504
Country : US
Telephone Number : 513-984-1800
Fax Number : 513-984-4909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 11/13/2012

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