Individual
SHANNON WELSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3901 S 7TH ST, TERRE HAUTE, IN 47802-5709
(812) 232-0021
Mailing address
PO BOX 281084, ATLANTA, GA 30384-1084
(812) 232-0021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007543A
IN
Other
Enumeration date
10/11/2017
Last updated
06/03/2020
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