Individual
MS. REBECCA LEA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
CROUSE HOSPITAL, 736 IRVING AVE, SYRACUSE, NY 13210-1690
(315) 470-7111
Mailing address
736 IRVING AVENUE, SYRACUSE, NY 13210-1690
(315) 470-7111
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431656-01
NY
Other
Enumeration date
02/03/2020
Last updated
05/17/2023
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