Wells, Courtenay A

Wells, Courtenay A is an individual health care provider with primary practice located at 3774 Bayley Dr Ste A , Lafayette IN 47905-8654. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wells, Courtenay A can be contacted via phone (765) 807-8200.

Contact Information

Primary practice address
3774 Bayley Dr Ste A Lafayette IN 47905-8654
Phone: (765) 807-8200
Fax: (765) 446-5155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN: 28142089A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN # 71002195 Indiana

Profile Details

NPI number 1093824815
LBN Legal business name Wells, Courtenay A
Credentials RN, FWP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Mar 23rd, 2021 - about 3 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 1093824815 NPPES
Indiana MEDICAID 200852860

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