Wells, Latavia Marie

Wells, Latavia Marie is an individual health care provider with primary practice located at 3191 Harbor Blvd Ste A , Port Charlotte FL 33952-6755. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wells, Latavia Marie can be contacted via phone (941) 883-4518.

Contact Information

Primary practice address
3191 Harbor Blvd Ste A Port Charlotte FL 33952-6755
Phone: (941) 883-4518
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN9542926 Florida

Profile Details

NPI number 1760088272
LBN Legal business name Wells, Latavia Marie
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2020
Last updated Dec 9th, 2020 - about 4 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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