Well Medical PA

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0212447 Issued in MN

Legal business name

WELL MEDICAL PA

Practice address

2125 Upper 55TH St E
Suite 250
Inver Grove Heights, MN 55077-1734

Phone

(651) 451-3311

Fax

(651) 451-3377

NPI assigned

Nov 1, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anna L Jauregui

Title

Office Manager

Phone

(651) 451-3311

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1003245929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 UPPER 55TH ST E",
            "address_2": "SUITE 250",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550771734",
            "telephone_number": "651-451-3311",
            "fax_number": "651-451-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 UPPER 55TH ST E",
            "address_2": "SUITE 250",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550771734",
            "telephone_number": "651-451-3311",
            "fax_number": "651-451-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "JAUREGUI",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-451-3311"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "0212447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• We Care Assisted Living L.L.C.
• Lara Madalyn Weaver, LSW, MSW
• Philip J Weber, MD
• Michelle Lynn Weinzirl, LPN
• Well Med, PA
• Dean Kevin Wennerberg, A.T.,C
• Juliana Malone White, PT
• Mary Theresa Wild Crea, M.D.
• Lindsey Nicole Williams
• Shontel Wilson, ARNP

• Nurse Practitioner in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.