ALINE ANGE WELL


Address: 455 Nathan Dean Blvd, Dallas, GA 30132-4921
Phone: 7705053837

ALINE ANGE WELL (NPI# 1063897759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063897759
Entity Type Individual
Full Name ALINE ANGE WELL
Credential NP-C
Practice Address 455 Nathan Dean Blvd
Dallas
GA 30132-4921
Mailing Address 2620 Elm Hill Pike
Nashville
TN 37214-3108
Practice Telephone 7705053837
Mailing Telephone 6154254200
Enumeration Date 2015-07-23
Last Update Date 2015-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN215883 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 455 NATHAN DEAN BLVD
City DALLAS
State GA
Zip Code 30132-4921

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013263623 Kimberly Williams Naab Nurse Practitioner 455 Nathan Dean Blvd, Dallas, GA 30132-4921 2012-08-01
1578178687 Ariel Kristin Dyches Pharmacist 455 Nathan Dean Blvd, Dallas, GA 30132-4921 2020-09-15
1982120408 Tonya Knowles Nurse Practitioner 455 Nathan Dean Blvd, Dallas, GA 30132-4921 2017-08-16
1316462278 Devan Nicole Sikes Nurse Practitioner 455 Nathan Dean Blvd, Dallas, GA 30132-4921 2017-08-11
1437673654 Woinshet Tesfaye Nurse Practitioner 455 Nathan Dean Blvd, Dallas, GA 30132-4921 2017-07-30
1306240676 Tlc of Georgia LLC Nurse Practitioner 455 Nathan Dean Blvd, Dallas, GA 30132-4921 2014-10-15
1487099586 Samuel Kevin Mcclendon Pharmacist 455 Nathan Dean Blvd, Dallas, GA 30132-4921 2013-05-02

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NPI Name Taxonomy Address Enumeration
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1013256130 Paulding Auto Sales Private Vehicle 210 E Memorial Dr, Dallas, GA 30132 2013-02-08
1255613410 Matthew Lerandal Talley Chiropractor 1305 Cedarcrest Road Suite#111, Dallas, GA 30132 2011-09-14
1003109422 Ashlyn Drugs Pharmacy 1160 Old Harris Rd, Dallas, GA 30132 2011-05-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235730409 Cheryl Lynn Williams Nurse Practitioner 282 Somerset Dr, Dallas, GA 30132-9761 2020-11-04
1699376723 David James Wainwright Nurse Practitioner 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 2020-11-04
1528668860 Nicole Chadwick Nurse Practitioner 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 2020-10-27
1952901415 Melissa Green Nurse Practitioner 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 2020-10-26
1194324640 Busola Stella Amurawaiye Nurse Practitioner 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 2020-10-25
1164020350 Christina Wilder Nurse Practitioner 821 Allen Street Apt 424, Dallas, TX 75204 2020-10-11
1689288276 Chinyere Ezeh Nurse Practitioner 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 2020-09-01
1992317341 Modern Enhancement Nurse Practitioner 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 2020-08-18
1679183172 Stacie Teresa Mccally Nurse Practitioner 4055 Valley View Lane, Dallas, TX 75022 2020-08-09
1528678083 Esther Siriba Nurse Practitioner 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 2020-08-08
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Competitor

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City DALLAS
Zip Code 30132

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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