Provider Demographics
NPI:1346748233
Name:WELSH, HOLLY DUNCANSON (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:DUNCANSON
Last Name:WELSH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:36 RUSSELL AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55405-1930
Mailing Address - Country:US
Mailing Address - Phone:608-287-4617
Mailing Address - Fax:
Practice Address - Street 1:36 RUSSELL AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55405-1930
Practice Address - Country:US
Practice Address - Phone:608-287-4617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant