Individual
MRS. SHELLEY ROSE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
1655 E GREENVILLE ST, ANDERSON, SC 29621-2062
(864) 716-7750
(864) 716-7759
Mailing address
PO BOX 2087, ANDERSON, SC 29622-2087
(864) 716-7750
(864) 716-7759
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F2801
SC
363L00000X
Nurse Practitioner
Primary
F2801
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1465
—
SC
Enumeration date
04/06/2007
Last updated
04/29/2016
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