Individual
MRS. MARY WELTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
12504 SE 93RD COURT RD, SUMMERFIELD, FL 34491-9722
(312) 371-4513
Mailing address
12504 SE 93RD COURT RD, SUMMERFIELD, FL 34491-9722
(312) 371-4513
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.009155
IL
Other
Enumeration date
01/03/2012
Last updated
12/08/2025
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