Individual
DR. SHANNA PATSY WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
625 TAMIAMI TRL N, SUITE 301, NAPLES, FL 34102-8143
(239) 434-0086
(239) 434-9029
Mailing address
625 TAMIAMI TRAIL NORTH, SUITE 301, NAPLES, FL 34102-8143
(239) 434-0086
(239) 434-9029
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AY1639
STATE LICENSE NUMBER RECEIVED THUSFAR
FL
Enumeration date
09/01/2010
Last updated
12/31/2012
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