Provider Demographics
NPI:1477127090
Name:WELLSCARE SOLUTIONS, LLC
Entity type:Organization
Organization Name:WELLSCARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JUDY-ANN
Authorized Official - Middle Name:S
Authorized Official - Last Name:WELLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:561-254-9769
Mailing Address - Street 1:4379 LAKE TAHOE CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-7872
Mailing Address - Country:US
Mailing Address - Phone:561-254-9769
Mailing Address - Fax:707-240-0168
Practice Address - Street 1:4379 LAKE TAHOE CIR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-7872
Practice Address - Country:US
Practice Address - Phone:561-254-9769
Practice Address - Fax:707-240-0168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty