Individual
BRITTANY JO WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
147 IVY ST, NEWARK, OH 43055-3582
(740) 915-1293
Mailing address
147 IVY ST, NEWARK, OH 43055-3582
(740) 915-1293
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
131214
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2866439
—
OH
Enumeration date
10/28/2008
Last updated
05/02/2016
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