Provider Demographics
NPI:1518164961
Name:WELDEN, LENORA L (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LENORA
Middle Name:L
Last Name:WELDEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 N HABANA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-6812
Mailing Address - Country:US
Mailing Address - Phone:813-876-4731
Mailing Address - Fax:813-877-7813
Practice Address - Street 1:4801 N HABANA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-6812
Practice Address - Country:US
Practice Address - Phone:813-876-4731
Practice Address - Fax:813-877-7813
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9175605363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9175605OtherSTATE LICENSE