MEDICARE: CATHERINE C. WELSH NP

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
1	363LF0000X	Family Nurse Practitioner	0024109556	VA

General Provider Information

NPI Number	:	1871556647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE C. WELSH NP

Provider Business Mailing Address
First Line	:	2104 EXECUTIVE DR
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-2402
Country	:	US
Telephone Number	:	757-736-3700
Fax Number	:	757-827-9978

Provider Business Practice Location Address
First Line	:	2104 EXECUTIVE DR
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-2402
Country	:	US
Telephone Number	:	757-736-3700
Fax Number	:	757-827-9978

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	04/17/2020

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