Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD23575 | ME |
N | 111NI0900X | Internist | MD23575 | ME |
Y | 207RP1001X | Pulmonary Disease | MD23575 | ME |
NPI | 1003235664 |
---|---|
Provider Name | Caitlin Welch |
First Address | Brunswick, ME 04011-2674 |
Second Address | Nashville, TN 37232-0011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2014 |
Last Update Date | 04/08/2020 |