Provider Demographics
NPI:1265500680
Name:WEGLEIN, JOAN MCCARTHY (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:MCCARTHY
Last Name:WEGLEIN
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 813
Mailing Address - Street 2:
Mailing Address - City:TREXLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18087-0813
Mailing Address - Country:US
Mailing Address - Phone:610-481-0481
Mailing Address - Fax:610-481-0486
Practice Address - Street 1:28 N 7TH ST
Practice Address - Street 2:PLANNED PARENTHOOD KEYSTONE
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-2110
Practice Address - Country:US
Practice Address - Phone:570-424-8306
Practice Address - Fax:570-476-2698
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00121800363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0131776Medicaid
NJ0131776Medicaid