Individual
MS. ANITA LYNN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
321 E MAIN ST, MOREHEAD, KY 40351-1671
(800) 562-8909
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 768-9180
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
3014952
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3014952
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3014952
KY APRN LICENSE
KY
05
—
7100689710
—
KY
Enumeration date
08/14/2020
Last updated
06/01/2021
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