Provider Demographics
NPI:1538517024
Name:WELDER, EMILY RHIANNA (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:RHIANNA
Last Name:WELDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:RHIANNA
Other - Last Name:NIELSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-467-2000
Mailing Address - Fax:319-467-2815
Practice Address - Street 1:920 E 2ND AVE STE 201A&B
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-2219
Practice Address - Country:US
Practice Address - Phone:319-467-2000
Practice Address - Fax:319-467-2815
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2019-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-45672207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine