Individual
MRS. ELAINE SUZANNE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10004 KENNERLY RD STE 115A, SAINT LOUIS, MO 63128-5106
(314) 525-1538
Mailing address
9517 EDDIE AND PARK RD, SAINT LOUIS, MO 63126-2835
(314) 265-6166
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2023009848
MO
Other
Enumeration date
03/07/2023
Last updated
07/05/2023
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