Most Relevant Information
Provider Data
| NPI Number: | 1003516089 |
| Provider Name: | ELAINE SUZANNE WELCH APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 2023009848 |
Most Important Dates
| Enumeration Date: | 03/07/2023 |
| Last Updated: | 07/05/2023 |
Provider Practice Location
10004 KENNERLY RD STE 115A
SAINT LOUIS
MO
631285106
Practice Location Phone/Fax
| Phone: | 3145251538 |
| Fax: |
Provider Mailing Location
9517 EDDIE AND PARK RD
SAINT LOUIS
MO
631262835
Provider Mailing Phone/Fax
| Phone: | 3142656166 |
| Fax: |