Provider Demographics
NPI:1861075558
Name:WELI, FARTUN (MPH)
Entity type:Individual
Prefix:MS
First Name:FARTUN
Middle Name:
Last Name:WELI
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 E LAKE ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1846
Mailing Address - Country:US
Mailing Address - Phone:612-886-2731
Mailing Address - Fax:
Practice Address - Street 1:1600 E LAKE ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1846
Practice Address - Country:US
Practice Address - Phone:612-886-2731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor