Individual
MR. BRETT L WELDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1333 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-3311
(417) 967-1234
Mailing address
1333 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-1265
(417) 967-1234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2015014592
MO
363LF0000X
Family Nurse Practitioner
671959
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
2015014593
MO
367500000X
Certified Registered Nurse Anesthetist
671959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26D0446923
CLIA
MO
05
—
910026517
—
MO
Enumeration date
12/20/2006
Last updated
05/06/2020
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