Individual
MS. DINA MARIE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3400 SE MACY RD STE 18, BENTONVILLE, AR 72712-7844
(479) 845-0880
(479) 286-0061
Mailing address
3400 SE MACY RD STE 18, BENTONVILLE, AR 72712-7844
(479) 845-0880
(479) 286-0061
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005113
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A005113
CNP
AR
01
—
R036076
RN
AR
Enumeration date
01/30/2018
Last updated
01/30/2018
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