Individual
KAREN LUCILLE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
BUILDING 160 DOGWOOD AVE, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
(423) 979-3685
Mailing address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APN5495
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3903073
—
TN
Enumeration date
05/16/2006
Last updated
07/12/2007
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