Provider Demographics
NPI:1730378845
Name:WELCH, JUDY A (RN)
Entity type:Individual
Prefix:MS
First Name:JUDY
Middle Name:A
Last Name:WELCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 N PLUMER AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-5906
Mailing Address - Country:US
Mailing Address - Phone:520-225-3284
Mailing Address - Fax:580-225-3201
Practice Address - Street 1:102 N PLUMER AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-5906
Practice Address - Country:US
Practice Address - Phone:520-225-3284
Practice Address - Fax:580-225-3201
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN021266163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse