Healthcare Provider Details

I. General information

NPI: 1811051212
Provider Name (Legal Business Name): CAREY WELSH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S FRONT ST
HARRISBURG PA
17101-2010
US

IV. Provider business mailing address

25 HOOVER RD
CARLISLE PA
17015-8512
US

V. Phone/Fax

Practice location:
  • Phone: 717-782-3131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License NumberMD465303
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberMD465303
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: