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Individual

HEIDI WELCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-2024
Mailing address
1 CRYSTAL LAKE RD, GROTON, CT 06349-2300
(860) 694-2024

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003842
CT
363LF0000X
Family Nurse Practitioner
265684
MA
363LF0000X
Family Nurse Practitioner
APRN01042
RI
363LF0000X
Family Nurse Practitioner
NPP37688
RI

Other

Enumeration date
10/27/2005
Last updated
09/21/2020
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