Provider Demographics
NPI:1306091368
Name:WELLS, SABRINA M (CRNP)
Entity type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:M
Last Name:WELLS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9715 HEALTHWAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811
Mailing Address - Country:US
Mailing Address - Phone:443-323-3014
Mailing Address - Fax:410-740-4744
Practice Address - Street 1:9715 HEALTHWAY DRIVE
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811
Practice Address - Country:US
Practice Address - Phone:443-323-3014
Practice Address - Fax:410-740-4744
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR154687EXP.1-28-09363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health