Provider Demographics
NPI:1619984184
Name:WELCHEZ, FRANCINE (NP)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:
Last Name:WELCHEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 DALLAS RD
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-3680
Mailing Address - Country:US
Mailing Address - Phone:760-723-7861
Mailing Address - Fax:
Practice Address - Street 1:3050 MADISON ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-2310
Practice Address - Country:US
Practice Address - Phone:760-720-7766
Practice Address - Fax:760-720-7204
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP4899363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAS87909Medicare UPIN