Provider Demographics
NPI:1760858781
Name:WELCH, ANNA J (DNP, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:J
Last Name:WELCH
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 MOSAIC BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-4945
Mailing Address - Country:US
Mailing Address - Phone:984-217-8230
Mailing Address - Fax:
Practice Address - Street 1:51 MOSAIC BLVD STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-4945
Practice Address - Country:US
Practice Address - Phone:984-217-8230
Practice Address - Fax:984-215-6768
Is Sole Proprietor?:No
Enumeration Date:2015-08-13
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC193630363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily