Provider Demographics
NPI:1407392871
Name:WELSH, KEISHA ANIECE (RN)
Entity Type:Individual
Prefix:
First Name:KEISHA
Middle Name:ANIECE
Last Name:WELSH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 105
Mailing Address - Street 2:
Mailing Address - City:HUFFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:77336
Mailing Address - Country:US
Mailing Address - Phone:832-563-3878
Mailing Address - Fax:
Practice Address - Street 1:12919 BARKLEY BEND LANE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044
Practice Address - Country:US
Practice Address - Phone:832-563-3878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX813181163WH1000X, 251E00000X, 251G00000X, 251J00000X, 374U00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No374U00000XNursing Service Related ProvidersHome Health Aide
No385H00000XRespite Care FacilityRespite Care