Individual
THERESA M WELTY
Active
Individual
THERESA M WELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
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
07/13/2026
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