Individual
MRS. MARGARET MARY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 462-4276
Mailing address
119 OLD FARM RD, FAYETTEVILLE, NY 13066-2525
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
302141
NY
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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