Individual
GWEN WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3650 EXPRESS DR, SHALLOTTE, NC 28470-6501
(910) 754-2229
(910) 754-2217
Mailing address
3650 EXPRESS DR, SHALLOTTE, NC 28470-6501
(910) 754-2229
(910) 754-2217
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5024174
NC
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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