Individual
STEPHANIE WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9640 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2217
(505) 294-4167
Mailing address
9640 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2217
(505) 294-4167
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02989
NM
Other
Enumeration date
07/27/2016
Last updated
01/13/2017
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