Healthcare Provider Details

I. General information

NPI: 1619898400
Provider Name (Legal Business Name): WILLIAM FRAZIER WELCH NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

461 21ST AVE S
NASHVILLE TN
37240-1104
US

IV. Provider business mailing address

PO BOX 27128
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 615-322-4400
  • Fax:
Mailing address:
  • Phone: 435-251-4450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number14301811-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number289417
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: