Individual
KRISTINA JANE WELBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
702 SUNSET DR, ONTARIO, OR 97914-3121
(541) 889-9167
Mailing address
1641 SHIRE LANE, KRISTINAWELBORN@ISU.EDU, EMMETT, ID 83617-8361
(208) 553-9499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
41207
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2971868
ID
Other
Enumeration date
10/11/2017
Last updated
07/30/2025
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