Individual
MR. MARK WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 S MAIN ST STE 103, GREENSBURG, PA 15601-5385
(412) 561-7246
Mailing address
PO BOX 747, GREENSBURG, PA 15601-0747
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024175708
VA
363LF0000X
Family Nurse Practitioner
CNP.022431
OH
363LF0000X
Family Nurse Practitioner
Primary
SP009967
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024175708
VIRGINIA
VA
Enumeration date
09/19/2008
Last updated
03/19/2018
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