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Charles Wells
Adult Health Nurse Practitioner in Massapequa, New York
NPI 1871921445

Charles Wells is an Adult Health Nurse Practitioner based in Massapequa, NY and is specialized in Adult Health. Charles Wells practices in Massapequa, NY. The NPI Number for Charles Wells is 1871921445 and holds a License No. F306567-1 (New York).

The current practice location address for Charles Wells is 200 N Boston Ave, Massapequa, NY and can be reached out via phone at 631-848-4054.

Location: 200 N Boston Ave, Massapequa, NY, 11758-1543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871921445
Provider Name
Charles Wells
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 N Boston Ave, Massapequa, NY, 11758-1543
Phone Number
631-848-4054
Fax Number
Provider Enumeration Date
10/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 N Boston Ave
City
Massapequa
State
New York
Zip
11758-1543
Phone Number
631-848-4054
Fax Number
person
Provider Business Mailing Address Details
Address
200 N Boston Ave
City
Massapequa
State
New York
Zip
11758-1543
Phone Number
631-848-4054
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
F306567-1 (New York)
Definition
Definition to come...
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