Individual
COLLEEN MARGARET WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 347-3204
(816) 554-4263
Mailing address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 246-8000
(816) 555-4263
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
062350
MO
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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