Provider Demographics
NPI:1811299696
Name:WELSH, HOWARD WAYLAND (RN, ARNP)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:WAYLAND
Last Name:WELSH
Suffix:
Gender:M
Credentials:RN, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2690 NE KRESKY AVE
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-2412
Mailing Address - Country:US
Mailing Address - Phone:360-330-9595
Mailing Address - Fax:
Practice Address - Street 1:615 CEMETERY RD
Practice Address - Street 2:
Practice Address - City:WINLOCK
Practice Address - State:WA
Practice Address - Zip Code:98596-9303
Practice Address - Country:US
Practice Address - Phone:360-785-9400
Practice Address - Fax:360-785-0236
Is Sole Proprietor?:No
Enumeration Date:2010-11-29
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00076507163WG0600X
WAAP60198302363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WG0600XNursing Service ProvidersRegistered NurseGerontology