Provider Demographics
NPI:1922856475
Name:WELSH, KRISTY (CPNP-PC)
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:WELSH
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:KRISTY
Other - Middle Name:
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPNP-PC
Mailing Address - Street 1:2217 BRISTOL PIKE
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-5736
Mailing Address - Country:US
Mailing Address - Phone:215-638-0555
Mailing Address - Fax:
Practice Address - Street 1:2217 BRISTOL PIKE
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5736
Practice Address - Country:US
Practice Address - Phone:215-638-0555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX958720163W00000X
PASP029952363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse