Individual
TINA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
400 CELEBRATION PL STE A150, CELEBRATION, FL 34747-4970
(407) 303-3837
(407) 303-3838
Mailing address
400 CELEBRATION PL STE A150, CELEBRATION, FL 34747-4970
(407) 303-3837
(407) 303-3838
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP9263003
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9263003
FL
Other
Enumeration date
04/30/2015
Last updated
03/02/2018
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