Basic Information
| Provider Information | |||||||||
| NPI: | 1811299696 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WELSH | ||||||||
| FirstName: | HOWARD | ||||||||
| MiddleName: | WAYLAND | ||||||||
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| Credential: | RN, ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2690 NE KRESKY AVE | ||||||||
| Address2: | |||||||||
| City: | CHEHALIS | ||||||||
| State: | WA | ||||||||
| PostalCode: | 985322412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603309595 | ||||||||
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| Practice Location | |||||||||
| Address1: | 615 CEMETERY RD | ||||||||
| Address2: | |||||||||
| City: | WINLOCK | ||||||||
| State: | WA | ||||||||
| PostalCode: | 985969303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3607859400 | ||||||||
| FaxNumber: | 3607850236 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/29/2010 | ||||||||
| LastUpdateDate: | 01/04/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WG0600X | RN00076507 | WA | N | Nursing Service Providers | Registered Nurse | Gerontology | 363LG0600X | AP60198302 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
No ID Information.