Individual
MRS. BEVERLY A WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
2314 AUBURN AVE, CINCINNATI, OH 45219-2802
(513) 721-7635
(513) 721-2313
Mailing address
3600 DELAINE AVE, KETTERING, OH 45429-2706
(937) 298-1341
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP03587
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2368441
—
OH
Enumeration date
07/18/2006
Last updated
05/08/2013
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