Keely Dylan Wells
Nurse Practitioner - Critical Care Medicine
601 Dr Martin Luther King Jr Ave Ne
Albuquerque
, New Mexico 87102-3619
Keely Dylan Wells
Nurse Practitioner - Critical Care Medicine
601 Dr Martin Luther King Jr Ave Ne
Albuquerque
, New Mexico 87102-3619
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Keely Dylan Wells
- 4101 Indian School Rd Ne Ste 110
- Albuquerque, NM
- Zip : 87110-3991
- Phone :
Second Address
- Keely Dylan Wells
- 601 Dr Martin Luther King Jr Ave Ne
- Albuquerque, NM
- Zip : 87102-3619
- Phone : (505) 727-8206
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | CNP-03497 | NM |
National Provider Identifier
| NPI | 1497191746 |
|---|---|
| Provider Name | Keely Dylan Wells |
| First Address | Albuquerque, NM 87110-3991 |
| Second Address | Albuquerque, NM 87102-3619 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2013 |
| Last Update Date | 07/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 14884739 | (05) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.