Provider Demographics
NPI:1235945809
Name:WELD, DOLORES LOUELLA (RN)
Entity type:Individual
Prefix:MS
First Name:DOLORES
Middle Name:LOUELLA
Last Name:WELD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 W CLEAR SPRING DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-6600
Mailing Address - Country:US
Mailing Address - Phone:619-252-4463
Mailing Address - Fax:
Practice Address - Street 1:1211 E GUADALUPE RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-4889
Practice Address - Country:US
Practice Address - Phone:480-892-2803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ214276163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty