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General NPI Number Information
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NPI Number | 1538546163
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Entity Type | Individual
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Provider Name | JEFFREY GEORGE WELSTED
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Gender | Male
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 515 MAIN ST
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City | OLEAN
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State | NY
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Zip | 14760-1513
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Country | US
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Telephone | 716-373-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 1359 CROSS RD
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City | FREEDOM
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State | NY
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Zip | 14065-9409
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Country | US
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Telephone | 716-289-1015
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 617475
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License Number State | NY
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