Individual
HOLLY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2385
(360) 414-2386
Mailing address
4757 S 19TH ST, RIDGEFIELD, WA 98642-7169
(928) 710-2062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202010386NP
OR
363LF0000X
Family Nurse Practitioner
AP61115242
WA
Other
Enumeration date
11/18/2020
Last updated
07/22/2022
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