Individual
SAMANTHA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
651 COLLIERS WAY, SUITE 309, WEIRTON, WV 26062
(304) 797-6560
Mailing address
651 COLLIERS WAY, SUITE 309, WEIRTON, WV 26062
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
107739
WV
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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