Individual
COLETTE RAE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8333 NAAB RD STE 230, INDIANAPOLIS, IN 46260-1983
(317) 415-6580
Mailing address
8333 NAAB RD STE 203, INDIANAPOLIS, IN 46260-5924
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71004164A
IN
363L00000X
Nurse Practitioner
AP134563
TX
363LA2100X
Acute Care Nurse Practitioner
21004
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
71004164A
IN
363LA2100X
Acute Care Nurse Practitioner
AP134563
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548511413
—
TX
Enumeration date
10/02/2012
Last updated
09/01/2023
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