Individual
TYRA WELSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Mailing address
20366 CHAUMONT AVE, BATON ROUGE, LA 70817-7493
(225) 413-5995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN117922
LA
363L00000X
Nurse Practitioner
Primary
AP08242
LA
Other
Enumeration date
02/20/2015
Last updated
05/20/2021
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