IndividualActive
Daniel Welch, AGNP-C
NPI 1497396394 · Gerontology Nurse Practitioner · Coos Bay, OR
Provider details
- NPI number
- 1497396394
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 903574 (MS)
Mailing address
144 Burnham Rd
Brandon, MS 39042-2534
Registry dates
- Enumerated
- 2019-10-01
- Last updated
- 2026-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.