Individual
MR. MINDY F WELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
58 W. SEAMAN AVENUE, FREEPORT, NY 11561
(516) 867-5274
Mailing address
58 W SEAMAN AVE, FREEPORT, NY 11520-1524
(516) 867-5274
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
332652-1
NY
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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