Provider Demographics
NPI:1669681789
Name:WELCH, LINDA LORRAINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:LORRAINE
Last Name:WELCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 ROCKY HILL RD
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-4113
Mailing Address - Country:US
Mailing Address - Phone:978-388-6756
Mailing Address - Fax:
Practice Address - Street 1:21 ROCKY HILL RD
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-4113
Practice Address - Country:US
Practice Address - Phone:978-388-6756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA163983163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0712256OtherMA HEALTH PROVIDER NUMBER