Provider Demographics
NPI:1386608438
Name:WELKER, MAUREEN URSULA (MSN, NPC, CCRN)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:URSULA
Last Name:WELKER
Suffix:
Gender:F
Credentials:MSN, NPC, CCRN
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26522 LA ALAMEDA
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6330
Mailing Address - Country:US
Mailing Address - Phone:949-282-1671
Mailing Address - Fax:949-367-0518
Practice Address - Street 1:26800 CROWN VALLEY PKWY
Practice Address - Street 2:SUITE 330
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6384
Practice Address - Country:US
Practice Address - Phone:929-364-7246
Practice Address - Fax:949-364-1647
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2021-11-11
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Provider Licenses
StateLicense IDTaxonomies
CARN390049363LF0000X
CA10596363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGW388ZMedicare PIN
CAWPN10596CMedicare PIN
CAP87769Medicare UPIN