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Individual
MRS. NIKKI LEA WELK
Active
Individual
MRS. NIKKI LEA WELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0483
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71049
—
ND
Enumeration date
06/13/2012
Last updated
02/17/2020
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