Provider Demographics
NPI:1215498654
Name:WELSH, AUBREE (APRN, WHNP-BC)
Entity type:Individual
Prefix:
First Name:AUBREE
Middle Name:
Last Name:WELSH
Suffix:
Gender:F
Credentials:APRN, WHNP-BC
Other - Prefix:
Other - First Name:AUBREE
Other - Middle Name:
Other - Last Name:TERIBURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, WHNP-BC
Mailing Address - Street 1:1595 KENNESAW DUE WEST RD NW UNIT 100
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-7640
Mailing Address - Country:US
Mailing Address - Phone:470-308-3365
Mailing Address - Fax:
Practice Address - Street 1:1595 KENNESAW DUE WEST RD NW UNIT 100
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-7640
Practice Address - Country:US
Practice Address - Phone:470-308-3365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-28
Last Update Date:2025-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV816520363LW0102X, 163W00000X, 163W00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty