Provider Demographics
NPI:1841284874
Name:WELLS, ARTIS BEST (CRNA)
Entity type:Individual
Prefix:
First Name:ARTIS
Middle Name:BEST
Last Name:WELLS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ARTIS
Other - Middle Name:ANNE
Other - Last Name:NORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:7129 STACY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47111-9626
Mailing Address - Country:US
Mailing Address - Phone:812-256-8323
Mailing Address - Fax:
Practice Address - Street 1:7129 STACY RD
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:IN
Practice Address - Zip Code:47111-9626
Practice Address - Country:US
Practice Address - Phone:812-256-8323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28097974A163W00000X
KY1035476163W00000X
KY3000415367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY741010786OtherKENTUCKY MEDICAID
IN134960003OtherINDIANA MEDICARE
KYK060730OtherKENTUCKY MEDICARE PTAN
IN200328580OtherINDIANA MEDICAID
KYK060730OtherKENTUCKY MEDICARE PTAN
IN134960003OtherINDIANA MEDICARE