Individual provider · Type 1 NPI
Carol Wellons
Adult Health Nurse Practitioner · St. Louis, MO
NPI number
1225147176
Active
Practice location
3009 N Ballas Rd, Suite 387C
St. Louis, MO 63131-2322
Fax (314) 996-5910
Mailing address
670 Mason Ridge Center Dr, Suite 300
St. Louis, MO 63141-8573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 097155 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1225147176
Carol Wellons's National Provider Identifier is 1225147176, issued on Aug 30, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Mar 31, 2021.