Individual
MRS. TANYIA DELANE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1265 MAPLEWOOD AVE, LEWISBURG, WV 24901-9478
(304) 520-4608
(304) 520-4254
Mailing address
1265 MAPLEWOOD AVE, LEWISBURG, WV 24901-9478
(304) 520-4608
(304) 520-4254
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
45975
WV
Other
Enumeration date
10/31/2012
Last updated
11/11/2025
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