Individual
TANGECA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19756 N JOHN WAYNE PKWY, SUITE 111, MARICOPA, AZ 85139-8513
(602) 885-0329
Mailing address
20987 N JOHN WAYNE PKWY # B104-415, MARICOPA, AZ 85139-2926
(602) 885-0329
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN194263
AZ
363L00000X
Nurse Practitioner
Primary
AP8380
AZ
Other
Enumeration date
01/14/2016
Last updated
01/31/2019
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