Individual
NATHANIEL WELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
450 S WILLARD ST STE 103, COTTONWOOD, AZ 86326-6744
(928) 634-9573
(928) 634-0135
Mailing address
450 S WILLARD ST STE 103, COTTONWOOD, AZ 86326-6744
(928) 634-9573
(928) 634-0135
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1069801
AZ
Other
Enumeration date
01/04/2007
Last updated
10/23/2025
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