SHANTAY LATOYA WELLS AGACNP NPI 1952771651

NPI Information

Shantay Latoya Wells, AGACNP is an acute care nurse practitioner in Farmington, CT with 9 years of experience. Shantay Latoya Wells, AGACNP NPI is 1952771651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

263 FARMINGTON AVE
FARMINGTON, CT
ZIP 06030-001
Phone: (860) 679-4477
Fax: (860) 679-4474

The NPI 1952771651 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/7/2015 and was last updated on 10/28/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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