Individual
LARISA M WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2 CHABOT ST, WESTBROOK, ME 04092
(207) 857-9311
(207) 857-9324
Mailing address
2 CHABOT ST, WESTBROOK, ME 04092
(207) 857-9311
(207) 857-9324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R050944
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431956199
—
ME
Enumeration date
10/03/2006
Last updated
08/14/2008
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