Provider Demographics
NPI:1417441247
Name:WELKER, STACY J (FNP-C, APRN)
Entity Type:Individual
Prefix:MRS
First Name:STACY
Middle Name:J
Last Name:WELKER
Suffix:
Gender:F
Credentials:FNP-C, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3083 E ASTER DR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-4228
Mailing Address - Country:US
Mailing Address - Phone:801-441-9131
Mailing Address - Fax:877-518-1582
Practice Address - Street 1:1062 E. RIVERSIDE DR. #203
Practice Address - Street 2:
Practice Address - City:ST. GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790
Practice Address - Country:US
Practice Address - Phone:435-574-8014
Practice Address - Fax:877-518-1582
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8607762-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily