Individual
ELISSA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2200 S OCEAN LN APT 1410, FT LAUDERDALE, FL 33316-3865
(954) 304-2003
Mailing address
2200 S OCEAN LN APT 1410, FT LAUDERDALE, FL 33316-3865
(954) 304-2003
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG10230083
FL
Other
Enumeration date
01/15/2024
Last updated
09/11/2025
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