Healthcare Provider Details

I. General information

NPI: 1346290491
Provider Name (Legal Business Name): ANN M WELTIN APNP, CNMW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 ELM ST STE 300
DUBUQUE IA
52001-3679
US

IV. Provider business mailing address

2968 W 32ND ST
DUBUQUE IA
52001-1025
US

V. Phone/Fax

Practice location:
  • Phone: 563-690-2850
  • Fax: 563-557-8488
Mailing address:
  • Phone: 563-590-6302
  • Fax: 563-557-8488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number106813-032
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number116338A
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number339-033
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: