David Kevin Wells, R.N.
Individual provider Active NPI Registered Nurse · Emery, SD
NPI 1194987362 · NPPES record last updated Jun 30, 2008
Key facts
- NPI
- 1194987362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R034284 (SD)
- Practice address
- 411 N 6TH St # 786
Emery, SD 57332-2124 - Phone
- (423) 767-6130
- NPI assigned
- Jun 30, 2008
- 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 |
|---|---|---|---|
| R034284 | SD | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R034284 | SD | Yes |
Addresses
Primary practice location
411 N 6TH St # 786
Emery, SD 57332-2124
Mailing address
411 N 6TH St # 786
Emery, SD 57332-2124
Phone (423) 767-6130
Other providers in Emery, SD
- Richard John Darsky Jr.
- Richard L Gramer
- Rondi Joy Hanssen
- Allan Ross Millier
- TNT 76 Entperprises PLLC
- Patrick A Zoss
All providers in Emery, SD · Registered Nurse in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2008. 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.