Wellman, Sara M

Wellman, Sara M is an individual health care provider with primary practice located at 60 Mack Walters Rd , Shelbyville KY 40065-1738. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wellman, Sara M can be contacted via phone (502) 633-4622.

Contact Information

Primary practice address
60 Mack Walters Rd Shelbyville KY 40065-1738
Phone: (502) 633-4622
Fax: (502) 633-6925
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3005883 Kentucky

Profile Details

NPI number 1518104561
LBN Legal business name Wellman, Sara M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2009
Last updated Jan 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518104561 NPPES
Kentucky MEDICAID 7100066480

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