Provider Demographics
NPI:1053513549
Name:WELTER, LINDA LEE (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:LEE
Last Name:WELTER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7330 N YUCCA VIA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6227
Mailing Address - Country:US
Mailing Address - Phone:520-797-0659
Mailing Address - Fax:
Practice Address - Street 1:STARR CENTER PACE PRESCHOOL PROGRAM 102 N. PLUMER
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719
Practice Address - Country:US
Practice Address - Phone:520-225-3227
Practice Address - Fax:520-225-3268
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN064198163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool