Individual
LORIE D WELDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N., F.N.P.-C.
Contact information
Practice address
18880 CHERRY VALLEY BLVD, TUOLUMNE, CA 95379
(209) 928-5400
Mailing address
3105 CEDAR RAVINE RD, STE 201, PLACERVILLE, CA 95667-6561
(530) 676-0119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14383
CA
363LF0000X
Family Nurse Practitioner
201902420NP-PP
OR
Other
Enumeration date
06/15/2006
Last updated
08/31/2021
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