Provider Demographics
NPI:1699298299
Name:WELCH, TAMMY MARIE (LPN)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:MARIE
Last Name:WELCH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 OHARA RD
Mailing Address - Street 2:
Mailing Address - City:SCHUYLER FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12985-2317
Mailing Address - Country:US
Mailing Address - Phone:518-645-4141
Mailing Address - Fax:
Practice Address - Street 1:15 OHARA RD
Practice Address - Street 2:
Practice Address - City:SCHUYLER FALLS
Practice Address - State:NY
Practice Address - Zip Code:12985-2317
Practice Address - Country:US
Practice Address - Phone:518-645-4141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2812871164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse