Provider Demographics
NPI:1023991817
Name:WELCH, MEGAN KAY (FNP)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:KAY
Last Name:WELCH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 JOHN ST STE M-318
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-5383
Mailing Address - Country:US
Mailing Address - Phone:269-349-9745
Mailing Address - Fax:
Practice Address - Street 1:601 JOHN ST STE M-318
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-5383
Practice Address - Country:US
Practice Address - Phone:269-349-9745
Practice Address - Fax:269-349-9745
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704345047363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner