Individual ProviderCandis WelchNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3228 E 15th St, Panama City, FL 32405-7423(850) 628-2113PECOS EnrollmentBased on the most recent information from CMS, provider Candis Welch is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1720436603Provider TypeIndividualFull NameWelch, CandisCredentialARNPGenderFemaleSole ProprietorYesEnumeration Date6/1/2016Last Updated6/1/2016Contact InformationPractice LocationPractice Address3228 E 15th St, Panama City, FL 32405-7423Phone(850) 628-2113Fax(850) 481-0792Mailing LocationMailing Address3228 E 15th St, Panama City, FL 32405-7423Phone(850) 628-2113Fax(850) 481-0792Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9194231Florida