Female

Holly Wells FNP-BC

Family Nurse Practitioner in Longview, WA(View on Map)

Full Name

Holly Wells FNP-BC

NPI Number

1033712526

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/18/2020

Specialties

(Taxonomies)

Code

363LF0000X

Primary Taxonomy

Yes

Licenses

State

Oregon
Washington

License Number

202010386NP
AP61115242

Contact
Information

Purpose

Mailing
Location

Address

4757 S 19TH ST
1615 DELAWARE ST

City

Ridgefield
Longview

State

WA
WA

Postal Code

98642-7169
98632-2367

Country

US
US

Telephone Number

(928) 710-2062
(360) 414-2385

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/22/2022

Provider Address

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