Individual
BRIDGET LYNN WELKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 BROADWAY ST, PEKIN, IL 61554-3822
(309) 346-3416
Mailing address
8205 N COOLIDGE ST, EDWARDS, IL 61528-9606
(309) 691-2415
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209009905
IL
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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