Weller, Katie L

Weller, Katie L is an individual health care provider with primary practice located at 603 Medical Pkwy , Enterprise OR 97828-5124. 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. Weller, Katie L can be contacted via phone (541) 426-7900.

Contact Information

Primary practice address
603 Medical Pkwy Enterprise OR 97828-5124
Phone: (541) 426-7900
Fax: (541) 426-7901
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP741A Idaho

Profile Details

NPI number 1275584534
LBN Legal business name Weller, Katie L
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Apr 27th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275584534 NPPES
Idaho MEDICAID 807425100

Popular Providers