Provider Demographics
NPI:1851139257
Name:OPERA-WELLS, ANN CHIAMAKA
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:CHIAMAKA
Last Name:OPERA-WELLS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ANN
Other - Middle Name:CHIAMAKA
Other - Last Name:OPERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5201 BALSAM DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-8295
Mailing Address - Country:US
Mailing Address - Phone:469-396-2868
Mailing Address - Fax:
Practice Address - Street 1:2825 BELT LINE RD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-7011
Practice Address - Country:US
Practice Address - Phone:469-814-0456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1154903363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily