Stephen Welty, NURSEPRACTITIONER
Stephen Welty, NURSEPRACTITIONER is a Nurse Practitioner in Fairfield, Illinois. Qualified in 2021, 5 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 5
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
213 NW 10th St Ste AFairfield, IL 62837-1219
Phone: (618) 842-4617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 209-024734 (IL) |
|---|
Record details
| NPI number | 1811640105 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | January 27, 2022 |
| Last updated in NPPES | January 27, 2022 |
| Certification date | January 27, 2022 |
| Mailing address | 213 Nw 10th St Ste A, Fairfield, IL 62837-1219 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Select Physical Therapy Holdings Inc — 2121 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |