Weideman, Whitney L

Weideman, Whitney L is an individual health care provider with primary practice located at 36500 Aurora Dr , Summit WI 53066-4899. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Weideman, Whitney L can be contacted via phone (262) 434-1000.

Contact Information

Primary practice address
36500 Aurora Dr Summit WI 53066-4899
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5628 Wisconsin

Profile Details

NPI number 1972924660
LBN Legal business name Weideman, Whitney L
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2013
Last updated Nov 23rd, 2021 - about 5 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 1972924660 NPPES
Wisconsin MEDICAID 100036025

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