Individual
ANGELETT RENEE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2676 TRADER CT E APT 20, SOUTH BEND, IN 46628-3634
(574) 383-4340
Mailing address
2676 TRADER CT E APT 20, SOUTH BEND, IN 46628-3634
(574) 383-4340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28226793A
IN
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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