Individual
CHRISTINE MARIE WELKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
735 IRVING AVENUE, SYRACUSE, NY 13210
(315) 470-7379
Mailing address
1015 GILL ST, CHITTENANGO, NY 13037-9523
(315) 687-3113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
484640
NY
363LF0000X
Family Nurse Practitioner
Primary
346149
NY
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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