Provider Demographics
NPI:1023552221
Name:WEYAND, VALERIE (DNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:WEYAND
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 TAMAQUI VLG
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-1713
Mailing Address - Country:US
Mailing Address - Phone:443-472-1166
Mailing Address - Fax:
Practice Address - Street 1:585 E STATE ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-2004
Practice Address - Country:US
Practice Address - Phone:724-346-6494
Practice Address - Fax:724-346-3018
Is Sole Proprietor?:No
Enumeration Date:2016-12-07
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016960363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics