Healthcare Provider Details

I. General information

NPI: 1629476072
Provider Name (Legal Business Name): DEANNA MICHELLE WELCH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2014
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FEDERAL ST STE 220
GREENFIELD MA
01301-2592
US

IV. Provider business mailing address

1 ARCH PL STE 1
GREENFIELD MA
01301-2457
US

V. Phone/Fax

Practice location:
  • Phone: 413-225-2792
  • Fax: 833-941-2303
Mailing address:
  • Phone: 413-225-2792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN2284709
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberRN2284709
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: