Provider Demographics
NPI:1164654802
Name:WEILAND, LINDEE K (RN)
Entity Type:Individual
Prefix:MS
First Name:LINDEE
Middle Name:K
Last Name:WEILAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 SPRING RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3680
Mailing Address - Country:US
Mailing Address - Phone:314-685-6922
Mailing Address - Fax:
Practice Address - Street 1:144 SPRING RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3680
Practice Address - Country:US
Practice Address - Phone:314-685-6922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY602371-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse