Individual
STACI WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 E SHURDEN INDUSTRIAL BLVD, HENRYETTA, OK 74437-7323
(918) 652-9614
Mailing address
1625 S OLIPHANT ST, HOLDENVILLE, OK 74848-5812
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221131
OK
Other
Enumeration date
01/11/2025
Last updated
01/11/2025
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