Provider Demographics
NPI:1821750464
Name:WELSH, EMILY CHRISTINE MARIE (APRN, ACNPC-AG)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:CHRISTINE MARIE
Last Name:WELSH
Suffix:
Gender:F
Credentials:APRN, ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 CAPTENS ST NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44721-2182
Mailing Address - Country:US
Mailing Address - Phone:330-413-4041
Mailing Address - Fax:
Practice Address - Street 1:2520 CAPTENS ST NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44721-2182
Practice Address - Country:US
Practice Address - Phone:330-413-4041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029911363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care