Overview
Name: PHYLLIS M WELLS CRNP
Specialty: Obstetrics & Gynecology Nurse Practitioner
Type of Practice: Individual provider
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Practitioner
Specialization: Obstetrics & Gynecology.
Definition of Specialty: Definition to come…
License & NPI
License #(s): Q29866, , , ,
License State(s): MD, , , ,
Addresses
Practice Location: 11085 LITTLE PATUXENT PKWY,STE 103,COLUMBIA,MD,210442983,US
Mailing Address: 11085 LITTLE PATUXENT PKWY,STE 103,COLUMBIA,MD,210442983,US
Contact #
Practice location phone #: 4109970580
Practice location fax #: 4107408587
Mailing address Phone #: 4109970580
Mailing Address fax #: 4107408587
Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/10/2005
Last data data was updated: 07/08/2007
Insurances: