Provider Demographics
NPI:1356403745
Name:WELLS, ELIZABETH CARPENTER (MSN, RN, CS)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:CARPENTER
Last Name:WELLS
Suffix:
Gender:F
Credentials:MSN, RN, CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5024 BOULDER RUN
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-8301
Mailing Address - Country:US
Mailing Address - Phone:919-967-6353
Mailing Address - Fax:919-933-6333
Practice Address - Street 1:5024 BOULDER RUN
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-8301
Practice Address - Country:US
Practice Address - Phone:919-967-6353
Practice Address - Fax:919-933-6333
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC045145163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY86441OtherBCBSNC
NY86441OtherBCBSNC
NC594659Medicare UPIN