Provider Demographics
NPI:1972338390
Name:WELLS, DEKALEIGHA AUNEY
Entity type:Individual
Prefix:MS
First Name:DEKALEIGHA
Middle Name:AUNEY
Last Name:WELLS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2942 KNOX AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-1250
Mailing Address - Country:US
Mailing Address - Phone:615-293-6765
Mailing Address - Fax:
Practice Address - Street 1:2942 KNOX AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-1250
Practice Address - Country:US
Practice Address - Phone:615-293-6765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-05
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program