Individual
ARTIS BEST WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7129 STACY RD, CHARLESTOWN, IN 47111-9626
(812) 256-8323
Mailing address
7129 STACY RD, CHARLESTOWN, IN 47111-9626
(812) 256-8323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1035476
KY
163W00000X
Registered Nurse
28097974A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
3000415
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134960003
INDIANA MEDICARE
IN
01
—
200328580
INDIANA MEDICAID
IN
01
—
741010786
KENTUCKY MEDICAID
KY
01
—
K060730
KENTUCKY MEDICARE PTAN
KY
Enumeration date
09/06/2005
Last updated
06/26/2013
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