Provider Demographics
NPI:1811968977
Name:WELLS, VERONICA LYNN (RN CNS)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:LYNN
Last Name:WELLS
Suffix:
Gender:F
Credentials:RN CNS
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:LYNN
Other - Last Name:RANKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CNS
Mailing Address - Street 1:PO BOX 268838
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-8838
Mailing Address - Country:US
Mailing Address - Phone:918-660-3632
Mailing Address - Fax:918-660-3631
Practice Address - Street 1:4502 E 41 ST
Practice Address - Street 2:STE 2G12
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135
Practice Address - Country:US
Practice Address - Phone:918-660-3617
Practice Address - Fax:918-660-3631
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0042762364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist