MS. DINA MARIE WELLS


Address: 3400 Se Macy Rd Ste 18, Bentonville, AR 72712-7844
Phone: 4798450880

MS. DINA MARIE WELLS (NPI# 1629576152) 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) 1629576152
Entity Type Individual
Full Name MS. DINA MARIE WELLS
Credential APRN
Practice Address 3400 Se Macy Rd Ste 18
Bentonville
AR 72712-7844
Practice Telephone 4798450880
Practice Fax Number 4792860061
Mailing Telephone 4798450880
Mailing Fax Number 4792860061
Enumeration Date 2018-01-30
Last Update Date 2018-01-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
A005113 AR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR RN R036076 01
AR CNP A005113 01

Office Location

Street Address 3400 SE MACY RD STE 18
City BENTONVILLE
State AR
Zip Code 72712-7844

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1427662345 Bentonville Ambulatory Surgery Center, LLC Pain Medicine 2902 We Mid-cities Dr, Bentonville, AR 72712 2020-09-08
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1295361509 Unbridled Holdings LLC Physical Therapy Assistant 9900 Price Coffee Rd, Bentonville, AR 72712 2020-03-18
1649803552 Hanna Kathryn Baxendale Pediatrics 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 2020-02-19
1740746635 Meredith C Hodges Counselor 2508 Se 2oth St, Bentonville, AR 72712 2019-02-15
1609352566 Tripharma Inc Pharmacy 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 2018-07-13
1811406747 Upspring Therapy, LLC Counselor 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 2017-09-22
1023536836 Charlotte Yuvonne Hoyle Case Manager/Care Coordinator 2005 S.e Walton Blvd., Bentonville, AR 72712 2017-08-31
1508399502 Rosanna Nicole Rephan Nurse Practitioner 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 2017-04-06
1417305517 Charlotte Lennette Stephenson Behavioral Analyst 2005 S.e. Walton Blvd., Bentonville, AR 72712 2016-05-31
Find all providers in zip 72712

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
1720542145 Kevin Copley Nurse Practitioner 1301 S Walton Blvd, Bentonville, AR 72712-6284 2019-01-30
1437655065 Alysson Blythe Gaines Nurse Practitioner 1102 Nw Lowes Ave Ste 2, Bentonville, AR 72712-4978 2018-04-03
1508399502 Rosanna Nicole Rephan Nurse Practitioner 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 2017-04-06
1740649920 Patricia Ellen Sheppard Nurse Practitioner 3400 Se Macy, Bentonville, AR 72712 2016-02-17
1740291525 Pamela J Chrisco Nurse Practitioner 3400 Se Macy Rd, 18, Bentonville, AR 72712-7841 2006-08-10
1003805771 Deborah Mullens Shirey Nurse Practitioner 1706 Se Walton Blvd., Ozark Urgent Care, Bentonville, AR 72712 2005-10-17
1326041831 William G. Davis II Nurse Practitioner 1706 Se Walton Blvd, Bentonville, AR 72712-3200 2005-05-30
1215545298 Alison A. Knox Nurse Practitioner 2805 Mid Cities Dr, Bentonville, AR 72712-4270 2020-07-16
1912548058 Hannah Rae Lamm Nurse Practitioner 2900 Medical Center Pkwy, Bentonville, AR 72712-3204 2019-09-30
1598318958 Dara A Prowse Nurse Practitioner 609 Sw 8th St Fl 6, Bentonville, AR 72712-7886 2019-07-24
Find all providers in BENTONVILLE

Competitor

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City BENTONVILLE
Zip Code 72712

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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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