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Individual

MR. DAVID MICHAEL WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C, ACNPC-AG

Contact information

Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-3810
(217) 544-6464
Mailing address
9140 RENKEN RD, STAUNTON, IL 62088-2520

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.015796
IL
363LA2100X
Acute Care Nurse Practitioner
277.005604
IL
363LF0000X
Family Nurse Practitioner
Primary
209015796
IL
363LF0000X
Family Nurse Practitioner
Primary
277.005604
IL

Other

Enumeration date
04/06/2017
Last updated
05/06/2026
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