| Holly Wells, FNP-BC | |
|
1615 Delaware St, Longview, WA 98632-2367 | |
| (360) 414-2385 | |
| (360) 414-2386 |
| Full Name | Holly Wells |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1615 Delaware St, Longview, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033712526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP61115242 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 202010386NP (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Portland Foot And Ankle, Llc | 2466634944 | 2 |
| Camas Foot And Ankle Pllc | 3779748173 | 2 |
| Battle Ground Foot And Ankle | 6406858190 | 2 |
| Vancouver Foot And Ankle, Pllc | 9335321298 | 2 |
| Entity Name | Portland Foot And Ankle, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225349566 PECOS PAC ID: 2466634944 Enrollment ID: O20110303000960 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Wells, FNP-BC 4757 S 19th St, Ridgefield, WA 98642-7169 Ph: (928) 710-2062 | Holly Wells, FNP-BC 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 414-2385 |
Lori Davis Ryan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1044 11th Ave, Longview, WA 98632 Phone: 360-575-8275 Fax: 360-575-1950 | |
Dr. Steven Robert Spence Jr., DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-816-5706 Fax: 360-696-5038 | |
Mandy Turner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1339 Commerce Ave Ste 312, Longview, WA 98632 Phone: 360-747-1073 | |
Nichol Suzanne Halverson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 | |
Ms. Jan Carlin Khouri, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 784 14th Ave, Longview, WA 98632 Phone: 360-703-6400 | |
Donna K Lynds, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 |