Provider Demographics
NPI:1609909977
Name:WELCH, HALLE M (CNP)
Entity Type:Individual
Prefix:
First Name:HALLE
Middle Name:M
Last Name:WELCH
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
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Mailing Address - Street 1:4151 HOLIDAY ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2531
Mailing Address - Country:US
Mailing Address - Phone:330-492-8001
Mailing Address - Fax:330-492-2080
Practice Address - Street 1:75 BAYLOR DR STE 200
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-8965
Practice Address - Country:US
Practice Address - Phone:843-540-5857
Practice Address - Fax:843-524-5655
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHRN226373363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology