Provider Demographics
NPI:1487382008
Name:WELLS, ROBERT ALLAN (DNP, FNP-C, ENP-C)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALLAN
Last Name:WELLS
Suffix:
Gender:M
Credentials:DNP, FNP-C, ENP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6787 ROLLING MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:DAVISBURG
Mailing Address - State:MI
Mailing Address - Zip Code:48350-2953
Mailing Address - Country:US
Mailing Address - Phone:248-872-8556
Mailing Address - Fax:248-328-6122
Practice Address - Street 1:6787 ROLLING MEADOW DR
Practice Address - Street 2:
Practice Address - City:DAVISBURG
Practice Address - State:MI
Practice Address - Zip Code:48350-2953
Practice Address - Country:US
Practice Address - Phone:248-872-8556
Practice Address - Fax:248-328-6122
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704291642163WE0003X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency