Stephen J Weidner
Stephen J Weidner is a Nurse Practitioner in Coudersport, Pennsylvania. Qualified in 2022, 4 years ago. Practices with General Physician PC, a 487-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 4
- Licensed in
- PA
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
1001 E 2nd StCoudersport, PA 16915-8161
Phone: (814) 274-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence SP026710 (PA) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence RN604759 (PA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1235848524 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 16, 2022 |
| Last updated in NPPES | December 8, 2022 |
| Certification date | December 8, 2022 |
| Mailing address | 1001 E 2nd St, Coudersport, PA 16915-8161 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | General Physician Pc — 487 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Coudersport
-
Colleen Cloak, RN
1 N Main St, Coudersport, PA 16915-1630 · (814) 274-8651
-
Carla J Muirhead
1001 E 2nd St, Coudersport, PA 16915 · (814) 274-8651