Individual
GINA M WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, APNP
Contact information
Practice address
11400 W LAKE PARK DR, MILWAUKEE, WI 53224-3035
(414) 365-8300
(414) 365-8330
Mailing address
11400 W LAKE PARK DR, MILWAUKEE, WI 53224-3035
(414) 365-8300
(414) 365-8330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8600-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8600-33
STATE OF WISCONSIN - DEPARTMENT OF SAFETY & PROFESSIONAL SERVICES
WI
Enumeration date
08/23/2018
Last updated
08/23/2018
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