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Individual

MR. DAVID WAYNE WELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1673 COLUMBUS RD, WEST SACRAMENTO, CA 95691-4902
(916) 813-9333
(916) 374-0340
Mailing address
1673 COLUMBUS RD, WEST SACRAMENTO, CA 95691-4902
(916) 813-9333
(916) 374-0340

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13720
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0376959-22
ANCC
Enumeration date
02/27/2008
Last updated
02/27/2008
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