Provider Demographics
NPI:1447923610
Name:WELCH, SHAUNA JANEL (CNP)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:JANEL
Last Name:WELCH
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:JANEL
Other - Last Name:WESTALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:329 N WEST ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-4332
Mailing Address - Country:US
Mailing Address - Phone:419-221-3072
Mailing Address - Fax:419-225-8878
Practice Address - Street 1:200 HARDING AVE
Practice Address - Street 2:
Practice Address - City:KENTON
Practice Address - State:OH
Practice Address - Zip Code:43326-1669
Practice Address - Country:US
Practice Address - Phone:419-673-1286
Practice Address - Fax:419-225-8878
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0026985363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily