Provider Demographics
NPI:1629476072
Name:WELCH, DEANNA MICHELLE (NP)
Entity type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:MICHELLE
Last Name:WELCH
Suffix:
Gender:
Credentials:NP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 ARCH PL STE 1
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-2457
Mailing Address - Country:US
Mailing Address - Phone:413-225-2792
Mailing Address - Fax:
Practice Address - Street 1:55 FEDERAL ST STE 220
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-2592
Practice Address - Country:US
Practice Address - Phone:413-225-2792
Practice Address - Fax:833-941-2303
Is Sole Proprietor?:No
Enumeration Date:2014-12-17
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN2284709363LW0102X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health