Individual
MAUREEN WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
310 35TH ST SE STE 11, CHARLESTON, WV 25304-1352
(304) 720-9595
Mailing address
10536 WINFIELD RD, WINFIELD, WV 25213-7930
(304) 993-0038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104761
WV
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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