Provider Demographics
NPI:1326178476
Name:WELCH, SARAH ELIZABETH (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:WELCH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:MARCOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN
Mailing Address - Street 1:2126 N THOMPSON LN
Mailing Address - Street 2:APT P103
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-6025
Mailing Address - Country:US
Mailing Address - Phone:615-898-0771
Mailing Address - Fax:615-849-2333
Practice Address - Street 1:2126 N THOMPSON LN
Practice Address - Street 2:APT P103
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-6025
Practice Address - Country:US
Practice Address - Phone:615-898-0771
Practice Address - Fax:615-849-2333
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000133125163WP0808X
TNAPN14881363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1326178476OtherNPI