Individual
MRS. KRISTINE MICHELLE WELDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP
Contact information
Practice address
2102 N. MAIN STREET, NAPPANEE, IN 46550-9310
(574) 862-2165
(574) 862-4112
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004302A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236040286
MEDICARE PTAN
IL
05
—
300010001
—
IN
Enumeration date
01/29/2013
Last updated
02/23/2023
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