Individual
MS. KIERSTEN ANNE MACLEOD WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
701 DUNCANVILLE CT, CAMPBELL, CA 95008-3145
(408) 626-9931
Mailing address
701 DUNCANVILLE CT, CAMPBELL, CA 95008-3145
(408) 626-9931
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NPF 12830
CA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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