Individual ProviderAngela G WellsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(478) 331-9264(478) 456-9088PECOS EnrollmentBased on the most recent information from CMS, provider Angela G Wells does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1942633714Provider TypeIndividualFull NameWells, Angela GCredentialNP-CGenderFemaleSole ProprietorNoEnumeration Date8/15/2013Last Updated9/23/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(478) 331-9264FaxUnlisted FaxMailing LocationMailing Address442 Ogletree Rd, Milledgeville, GA 31061-0310Phone(478) 456-9088FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN149563Georgia