Provider Demographics
NPI:1013051655
Name:WELSH, CINDY L (LPN)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:L
Last Name:WELSH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 WOOTRING ST
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-2780
Mailing Address - Country:US
Mailing Address - Phone:740-936-0251
Mailing Address - Fax:
Practice Address - Street 1:82 WOOTRING ST
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-2780
Practice Address - Country:US
Practice Address - Phone:740-936-0251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN119373 IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH270 8770Medicaid