Provider Demographics
NPI:1982665188
Name:WELCH, NANCY MAE (MD, MHA, MBA)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:MAE
Last Name:WELCH
Suffix:
Gender:F
Credentials:MD, MHA, MBA
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:WELCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:748 BATTLEFIELD BLVD N
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4941
Mailing Address - Country:US
Mailing Address - Phone:757-382-8629
Mailing Address - Fax:757-547-0298
Practice Address - Street 1:748 BATTLEFIELD BLVD N
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4941
Practice Address - Country:US
Practice Address - Phone:757-382-8629
Practice Address - Fax:757-547-0298
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010282112083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAF80780Medicare UPIN