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Individual
KELLY A WELZ
Active
Individual
KELLY A WELZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201050150NP
OR
363L00000X
Nurse Practitioner
Primary
AP30006275
WA
363LF0000X
Family Nurse Practitioner
201050150NP
OR
363LF0000X
Family Nurse Practitioner
AP30006275
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
NBMC MAIN GROUP NPI
OR
01
—
161133
NBMC MAIN GROUP DMAP
OR
01
—
201050150NP
OREGON LICENSE - NURSE PRACTITIONER WTH PRESCRIPTIVE PRIVLEGES-FAMILY
OR
05
—
500625806
—
OR
01
—
930635514
NBMC GROUP TAX ID
OR
01
—
R0000WFBTV
NBMC GROUP MEDICARE
OR
Enumeration date
10/16/2006
Last updated
03/07/2019
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