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Individual

MRS. ELIZABETH L WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1040 MAIN ST, DANVILLE, VA 24541-1816
(434) 792-1433
(434) 797-2807
Mailing address
1040 MAIN ST, DANVILLE, VA 24541-1816
(434) 792-1433
(434) 797-2807

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024168402
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487886776
VA
Enumeration date
08/20/2009
Last updated
08/10/2016
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