Provider Demographics
NPI:1285805531
Name:WELLS, WENDY (NMD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:
Last Name:WELLS
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14301 N 87TH ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3686
Mailing Address - Country:US
Mailing Address - Phone:480-607-0299
Mailing Address - Fax:
Practice Address - Street 1:14301 N 87TH ST
Practice Address - Street 2:SUITE 302
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3686
Practice Address - Country:US
Practice Address - Phone:480-607-0299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07-978175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZMW1590202OtherDEA