Provider Demographics
NPI:1154626380
Name:WELLS, ELIZABETH BROCK (APRN, FNP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:BROCK
Last Name:WELLS
Suffix:
Gender:F
Credentials:APRN, FNP
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Mailing Address - Street 1:2200 CHILDRENS WAY
Mailing Address - Street 2:PERIOPERATIVE SERVICES- PATCH CLINIC
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-9175
Mailing Address - Country:US
Mailing Address - Phone:615-936-1840
Mailing Address - Fax:
Practice Address - Street 1:2200 CHILDRENS WAY
Practice Address - Street 2:PERIOPERATIVE SERVICES- PATCH CLINIC
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-9175
Practice Address - Country:US
Practice Address - Phone:615-936-1840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000015237363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily