Individual
MRS. ALI MARGARET WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
13688 ROGERS DR STE 230, ROGERS, MN 55374-4918
(952) 977-0300
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP1935
MN
363LF0000X
Family Nurse Practitioner
R 185486-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MN
Enumeration date
02/25/2014
Last updated
06/06/2024
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