Individual
LAURA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3000
Mailing address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041421044
IL
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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