Individual
ANGELA WELKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8076
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8076
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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