Welesko, Mary-Beth A

Welesko, Mary-Beth A is an individual health care provider with primary practice located at 375 Wampanoag Trail Suite 102, East Providence RI 02905. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Welesko, Mary-Beth A can be contacted via phone (401) 649-4010.

Contact Information

Primary practice address
375 Wampanoag Trail Suite 102 East Providence RI 02905
Phone: (401) 649-4010
Fax: (401) 649-4011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN00528 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN00528 Rhode Island

Profile Details

NPI number 1487601431
LBN Legal business name Welesko, Mary-Beth A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jul 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487601431 NPPES
Rhode Island MEDICAID 7058340

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