Provider Demographics
NPI:1821141714
Name:WELCH, NITRA HOBBS (ARNP)
Entity Type:Individual
Prefix:
First Name:NITRA
Middle Name:HOBBS
Last Name:WELCH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:NITRA
Other - Middle Name:HOBBS
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:3951 S NOVA RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32127-9270
Mailing Address - Country:US
Mailing Address - Phone:386-256-1444
Mailing Address - Fax:321-400-1118
Practice Address - Street 1:3951 S NOVA RD
Practice Address - Street 2:SUITE 3
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-9270
Practice Address - Country:US
Practice Address - Phone:386-256-1444
Practice Address - Fax:321-400-1118
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3327692363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner