Individual
STEPHANIE R WELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1015 MARSH ST, MANKATO, MN 56001-4752
(507) 385-4700
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
210
MN
364S00000X
Clinical Nurse Specialist
210
MN
364S00000X
Clinical Nurse Specialist
R174062-8
MN
Other
Enumeration date
06/17/2010
Last updated
12/10/2020
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