Provider Demographics
NPI:1700544293
Name:WELDON, AMY DELANO (RN, BSN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:DELANO
Last Name:WELDON
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:DELANO
Other - Last Name:FELGENHOUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:407 MAGNOLIA PKWY
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080
Mailing Address - Country:US
Mailing Address - Phone:254-206-6550
Mailing Address - Fax:
Practice Address - Street 1:407 MAGNOLIA PKWY
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080
Practice Address - Country:US
Practice Address - Phone:254-206-6550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-141165163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse