Provider Demographics
NPI:1093055592
Name:WELLS, DOROTHY NICOLE (LPN)
Entity Type:Individual
Prefix:MISS
First Name:DOROTHY
Middle Name:NICOLE
Last Name:WELLS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 ASCENSION DR
Mailing Address - Street 2:APT E120
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-1927
Mailing Address - Country:US
Mailing Address - Phone:828-275-2719
Mailing Address - Fax:
Practice Address - Street 1:1984 US HIGHWAY 70
Practice Address - Street 2:
Practice Address - City:SWANNANOA
Practice Address - State:NC
Practice Address - Zip Code:28778-8212
Practice Address - Country:US
Practice Address - Phone:828-298-2214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC72794164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse