Robert K Wells, RN
Individual provider Active NPI Registered Nurse · Butler, OH
NPI 1174755318 · NPPES record last updated Aug 21, 2009
Key facts
- NPI
- 1174755318
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN353150 (OH)
- Practice address
- 17330 Keller Rd
Butler, OH 44822-9232 - Phone
- (740) 694-0907
- Fax
- (740) 694-1913
- NPI assigned
- Aug 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN353150 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN353150 | OH | Yes |
Addresses
Primary practice location
17330 Keller Rd
Butler, OH 44822-9232
Mailing address
17330 Keller Rd
Butler, OH 44822-9232
Phone (740) 694-0907
Other providers in Butler, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.