Provider Demographics
NPI:1710329289
Name:WELLER, ISABEL DENISE (RN)
Entity Type:Individual
Prefix:MS
First Name:ISABEL
Middle Name:DENISE
Last Name:WELLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:DENISE
Other - Middle Name:ISABEL
Other - Last Name:WELLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:2115 CORNERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-9066
Mailing Address - Country:US
Mailing Address - Phone:325-721-1758
Mailing Address - Fax:
Practice Address - Street 1:2115 CORNERSTONE DR
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-9066
Practice Address - Country:US
Practice Address - Phone:325-721-1758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX637488163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health