Provider Demographics
NPI:1588678577
Name:WELDING, MARGUERITE C (ARNP)
Entity type:Individual
Prefix:MRS
First Name:MARGUERITE
Middle Name:C
Last Name:WELDING
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6333 N FEDERAL HWY STE 270
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1910
Mailing Address - Country:US
Mailing Address - Phone:954-771-6047
Mailing Address - Fax:954-771-2927
Practice Address - Street 1:6333 N FEDERAL HWY STE 270
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-1910
Practice Address - Country:US
Practice Address - Phone:954-771-6047
Practice Address - Fax:954-771-2927
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1363062363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL304279100Medicaid
FL304279100Medicaid
FLP39120Medicare UPIN