Individual
MRS. CAROL ANN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 264-7392
Mailing address
18613 NW 94TH AVE, ALACHUA, FL 32615-6006
(386) 462-4879
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1967302
FL
363LG0600X
Gerontology Nurse Practitioner
0050-01460
NC
Other
Enumeration date
01/16/2007
Last updated
07/06/2013
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