Leann Jean Willis Welch, NP
Nurse Practitioner, Family in Coos Bay, OR. Individual provider (NPI-1).
NPI number1679523971
StatusActive
Last updated in NPPESJul 11, 2024
Details
- NPI
- 1679523971
- Entity type
- Individual (NPI-1)
- Name
- Leann Jean Willis Welch
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2006
- Certification date
- Jul 11, 2024
- Last updated
- Jul 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 200650049NP | OR | Yes |
| 363LF0000X | Nurse Practitioner, Family | 200640863RN | OR |
Practice location
150 S Wall StCoos Bay, OR 97420-3233
Phone 541-435-7200 · Fax 541-888-0025
Mailing address
150 S Wall StCoos Bay, OR 97420-3233
Phone 541-435-7200 · Fax 541-888-0025
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