Provider Demographics
NPI:1881483972
Name:WELSH, RAQUEL OLORES
Entity type:Individual
Prefix:
First Name:RAQUEL
Middle Name:OLORES
Last Name:WELSH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3009 GRASSWREN DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-2818
Mailing Address - Country:US
Mailing Address - Phone:702-340-0939
Mailing Address - Fax:
Practice Address - Street 1:3009 GRASSWREN DR
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-2818
Practice Address - Country:US
Practice Address - Phone:702-340-0939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN70199163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical