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 10 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