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NPI Code Detail

MEDICARE: MS. PATTI A. WELCH RN-BSN

MEDICARE: MS. PATTI A. WELCH RN-BSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0400XCase Management Registered NurseRN-1490132FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780636001
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATTI A. WELCH RN-BSN
Provider Business Mailing Address
First Line : 5832 HIGH POINT RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-4203
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2814 W 15TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-1376
Country : US
Telephone Number : 850-872-4840
Fax Number : 850-872-4468
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 03/12/2009

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