Provider Demographics
NPI:1922699149
Name:WELLS, KARI ELIZABETH (NP)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:ELIZABETH
Last Name:WELLS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:ELIZABETH
Other - Last Name:FEJER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31236 PALOS VERDES DR W
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-5361
Mailing Address - Country:US
Mailing Address - Phone:310-544-2121
Mailing Address - Fax:
Practice Address - Street 1:24329 CRENSHAW BLVD STE A
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5335
Practice Address - Country:US
Practice Address - Phone:310-868-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-30
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95016503363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily