Edith Elaine Weatherford in Marquette - Pediatrics
Edith Elaine Weatherford - NPI 1063404804
Edith Elaine Weatherford is a Pediatrics in Marquette, Michigan. Edith Elaine Weatherford practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Edith Elaine Weatherford is 1063404804. The last update date is 2007-07-08.
Edith Elaine Weatherford's current location address is 1414 W Fair Ave, Marquette, Michigan. You can contact this provider via phone number 9062253925 and fax number 9062254838. The mailing address for Edith Elaine Weatherford is 1414 W Fair Ave, Marquette, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edith Elaine Weatherford |
|---|---|
| Address | 1414 W Fair Ave, Marquette, Michigan |
| Phone Number | 9062253925 |
| Fax Number | 9062254838 |
| Sole Proprietor | X |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1063404804 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1414 W Fair Ave |
|---|---|
| City | Marquette |
| State | Michigan (MI) |
| Post Code | 498552675 |
| Phone Number | 9062253925 |
| Fax Number | 9062254838 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 4704161015 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4135841 | MI | -- |
Post Comment/ Review Below
What is the Edith Elaine Weatherford's 1063404804?
The Edith Elaine Weatherford's NPI (National Provider Identifier) Number is 1063404804. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Edith Elaine Weatherford?
The Edith Elaine Weatherford is physically situated at 1414 W Fair Ave, in the city of Marquette, state of MI, with the postal code 498552675.
What is Edith Elaine Weatherford's area of expertise and its corresponding taxonomy classification?
The Edith Elaine Weatherford's field of specialization is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their areas of practice.
When did Edith Elaine Weatherford receive its 1063404804 assignment?
The Edith Elaine Weatherford was assigned its 1063404804 on 2005-08-18, which is the date when this unique identifier was issued to the organization.
When was the information related to Edith Elaine Weatherford most recently updated or refreshed?
The details pertaining to the Edith Elaine Weatherford, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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