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NPI Code Detail

MEDICARE: MRS. LINDA S. WELCH CRNA DNP

MEDICARE:  MRS. LINDA S. WELCH  CRNA DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist209000406IL
2367500000XCertified Registered Nurse Anesthetist046179IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00664316OTHERILRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1209000406OTHERILAPRN LICENSE

General Provider Information

NPI Number : 1538181508
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA S. WELCH CRNA DNP
Provider Business Mailing Address
First Line : 303 N JACKSON ST
Second Line :
City : MORRISON
State : IL
Zip : 61270-3042
Country : US
Telephone Number : 815-772-4003
Fax Number :
Provider Business Practice Location Address
First Line : 303 N JACKSON ST
Second Line :
City : MORRISON
State : IL
Zip : 61270-3042
Country : US
Telephone Number : 815-772-4003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 01/24/2025

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