Individual
WESLEY WELLS
Active
Individual
WESLEY WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2014006195
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
C003159
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200790330A
—
OK
05
—
215761001
—
AR
01
—
5BZ36
BCBS ARKANSAS
AR
05
—
910070613
—
MO
01
—
P02077944
RAILROAD
AR
Enumeration date
04/22/2016
Last updated
09/03/2026
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