Individual
NANCY DENISE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 COTTAGE CT, EASTOVER, SC 29044-9051
(803) 331-1110
Mailing address
230 COTTAGE CT, EASTOVER, SC 29044-9051
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
148727
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148727
SC REGISTRY
SC
Enumeration date
08/30/2022
Last updated
10/19/2022
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