Provider Demographics
NPI:1851560817
Name:WELFORD, MALINDA MASON (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MALINDA
Middle Name:MASON
Last Name:WELFORD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:4621 MORRISON DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-3353
Mailing Address - Country:US
Mailing Address - Phone:251-344-7474
Mailing Address - Fax:251-344-1622
Practice Address - Street 1:4621 MORRISON DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-3353
Practice Address - Country:US
Practice Address - Phone:251-344-7474
Practice Address - Fax:251-344-1622
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-091498363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care