Individual
NANCY ELIZABETH WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2400 HOSPITAL DR. SUITE 240, BOSSIER CITY, LA 71111
(318) 742-5800
(318) 741-3902
Mailing address
2400 HOSPITAL DR. SUITE 240, BOSSIER CITY, LA 71111
(318) 742-5800
(318) 741-3902
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN052090AP03250
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1557021
—
LA
01
—
52090-3250
STATE LICENSE
LA
Enumeration date
07/27/2006
Last updated
11/15/2012
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