Provider Demographics
NPI:1467264796
Name:WELCH, ASHLEY LYN (RN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYN
Last Name:WELCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:LYN
Other - Last Name:WELCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:174 PUALALEA CIR
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-9365
Mailing Address - Country:US
Mailing Address - Phone:808-205-1430
Mailing Address - Fax:
Practice Address - Street 1:174 PUALALEA CIR
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-9365
Practice Address - Country:US
Practice Address - Phone:808-205-1430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-68515163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn