Individual
FALLON ELYSE WELSH-DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 LAUREL RD E, NORTH VENICE, FL 34275-3226
(217) 416-0345
Mailing address
2600 LAUREL RD E, NORTH VENICE, FL 34275-3226
(217) 416-0345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9657286
FL
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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