Individual provider · Type 1 NPI

Shardae Gwendolyn Wells, FNP

Family Nurse Practitioner · San Bernardino, CA

NPI number 1598359002 Active

Practice location

1800 Western Ave Ste 204
San Bernardino, CA 92411-1353

Mailing address

13075 Palisade Pl
Moreno Valley, CA 92553-6428

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95016553 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1598359002

Shardae Gwendolyn Wells, FNP's National Provider Identifier is 1598359002, issued on Feb 24, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Bernardino, CA. The record was last updated on Feb 24, 2021.