Provider Demographics
NPI:1912053620
Name:HRICZ WELCH, LUCY (ADV PRACTICE NURSE)
Entity type:Individual
Prefix:MS
First Name:LUCY
Middle Name:
Last Name:HRICZ WELCH
Suffix:
Gender:F
Credentials:ADV PRACTICE NURSE
Other - Prefix:
Other - First Name:LUCY
Other - Middle Name:HRICZ
Other - Last Name:WELCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:516 VALLEY BROOK AVE
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-1930
Mailing Address - Country:US
Mailing Address - Phone:201-646-0333
Mailing Address - Fax:201-646-0283
Practice Address - Street 1:516 VALLEY BROOK AVE
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-1930
Practice Address - Country:US
Practice Address - Phone:201-646-0333
Practice Address - Fax:201-646-0283
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC07468400364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health