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Individual

THEALYNN WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, AGCNS-BC

Contact information

Practice address
901 WEST BEN WHITE BLVD, AUSTIN, TX 78704
(512) 447-2211
Mailing address
901 W BEN WHITE BLVD, AUSTIN, TX 78704-6903

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
1042990
TX
364SA2100X
Acute Care Clinical Nurse Specialist
1042990
TX
364SA2200X
Adult Health Clinical Nurse Specialist
1042990
TX
364SG0600X
Gerontology Clinical Nurse Specialist
1042990
TX

Other

Enumeration date
06/26/2023
Last updated
09/11/2023
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