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Individual

MS. HOLLY HEATHER WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
167621
NC
363LN0000X
Neonatal Nurse Practitioner
Primary
930178
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7000240
NC
Enumeration date
09/20/2006
Last updated
01/07/2025
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