person
Edith Elaine Weatherford, CPNP
Pediatric Nurse Practitioner in Marquette, Michigan
NPI 1063404804

Edith Elaine Weatherford is a Pediatric Nurse Practitioner based in Marquette, MI and is specialized in Pediatrics. Edith Elaine Weatherford practices in Marquette, MI and has the professional credentials of CPNP. The NPI Number for Edith Elaine Weatherford is 1063404804 and holds a License No. 4704161015 (Michigan).

The current practice location address for Edith Elaine Weatherford is 1414 W Fair Ave, Marquette, MI and can be reached out via phone at 906-225-3925 and via fax at 906-225-4838.

Location: 1414 W Fair Ave, Marquette, MI, 49855-2675
person
Provider Profile Details
NPI Number
1063404804
Provider Name
Edith Elaine Weatherford
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1414 W Fair Ave, Marquette, MI, 49855-2675
Phone Number
906-225-3925
Fax Number
906-225-4838
Provider Enumeration Date
08/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4135841 05 MI
institution
Provider Business Practice Location Address Details
Address
1414 W Fair Ave
City
State
Zip
49855-2675
Phone Number
906-225-3925
Fax Number
906-225-4838
person
Provider Business Mailing Address Details
Address
1414 W Fair Ave
City
State
Zip
49855-2675
Phone Number
906-225-3925
Fax Number
906-225-4838
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
4704161015 (Michigan)
Definition
Definition to come...
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