Weidner, Holly G

Weidner, Holly G is an individual health care provider with primary practice located at 15 E Chestnut St , Augusta ME 04330-5736. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Weidner, Holly G can be contacted via phone (207) 626-1561.

Contact Information

Primary practice address
15 E Chestnut St Augusta ME 04330-5736
Phone: (207) 626-1561
Fax: (207) 626-1849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA335 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP081231 Maine

Profile Details

NPI number 1538135421
LBN Legal business name Weidner, Holly G
Credentials NP, PA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Feb 9th, 2011 - about 15 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 1538135421 NPPES
Maine MEDICAID 316490099

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