Individual
THERESA M WELTY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 464-4611
(651) 464-7627
Mailing address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 464-4611
(651) 464-7627
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1112955
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13R64WE
BLUE CROSS
MN
05
—
44328200
—
WI
01
—
965621015360
PREFERREDONE
—
Enumeration date
01/25/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us