Individual
MISS ERIN LYN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
123 BAPTIST WAY, PENSACOLA, FL 32503-2254
(448) 227-8478
Mailing address
1099 HARBOR LN, GULF BREEZE, FL 32563-3315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-03581
NC
363A00000X
Physician Assistant
Primary
PA9113347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102417
—
NC
Enumeration date
06/27/2012
Last updated
04/12/2024
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