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Individual

MS. SANDRA ANN WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN RN CNS

Contact information

Practice address
5999 BURKE COMMONS RD, 3RD FLOOR, BURKE, VA 22015-2880
(703) 249-7219
(703) 249-7250
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
(301) 816-6308

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
0001104385
VA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0015000672
VA

Other

Enumeration date
12/21/2006
Last updated
06/03/2021
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