Provider Demographics
NPI:1487695680
Name:WELCH, NATASHA R (NP)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:R
Last Name:WELCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 IRVING ST NW
Mailing Address - Street 2:SUITE 420
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2927
Mailing Address - Country:US
Mailing Address - Phone:202-877-3906
Mailing Address - Fax:202-722-6364
Practice Address - Street 1:106 IRVING ST NW
Practice Address - Street 2:SUITE 420
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2927
Practice Address - Country:US
Practice Address - Phone:202-877-3906
Practice Address - Fax:202-722-6364
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN62997363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC5765694OtherCOVENTRY
MD129402400Medicaid
DC689662OtherNCPPO
DC036249400Medicaid
DCG02534OtherMEDICARE
DC269721OtherAMERIGROUP
DC63000002OtherNCA BLUE SHIELD
DC63000002OtherNCA BLUE SHIELD
MD129402400Medicaid