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Individual

ANGELA WELKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN2265253
MA
363LN0005X
Critical Care Neonatal Nurse Practitioner
RN2265253
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110104577A
MA
01
S400322628
MEDICARE
MA
Enumeration date
02/27/2014
Last updated
11/11/2020
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