| Doctor Name: | MEGHANN L WELLARD |
| NPI Number: | 1184736712 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R157352 |
| Business Practice Address: | 605 Global Way Suite 119 Linthicum, MD - 210902222 |
| Business Phone Number: | 4107897337 |
| Business Fax Number: | 4107890425 |
| Mailing Address: | Po Box 64782, BALITMORE |
| State: | MD |
| Postal Code: | 212644782 |
| Phone Number: | 4434816576 |
| Fax Number: | 4434816515 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 02/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | R157352 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |