Provider Demographics
NPI:1427140201
Name:WELLS, BARBARA M (FNP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:M
Last Name:WELLS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 MILAN HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572
Mailing Address - Country:US
Mailing Address - Phone:845-266-3481
Mailing Address - Fax:845-266-8335
Practice Address - Street 1:500 MILAN HOLLOW RD
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572
Practice Address - Country:US
Practice Address - Phone:845-266-3481
Practice Address - Fax:845-266-8335
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330838363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02406875Medicaid
NYA400102269Medicare PIN
NY95V861Medicare ID - Type Unspecified