Provider Demographics
NPI:1275843401
Name:WEIGAND, DORI E (MSN, APRN)
Entity Type:Individual
Prefix:MS
First Name:DORI
Middle Name:E
Last Name:WEIGAND
Suffix:
Gender:F
Credentials:MSN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 BATTERY ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-5285
Mailing Address - Country:US
Mailing Address - Phone:802-735-6895
Mailing Address - Fax:802-860-2399
Practice Address - Street 1:168 BATTERY ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-5285
Practice Address - Country:US
Practice Address - Phone:802-735-6895
Practice Address - Fax:802-860-2399
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-21
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0260018661163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health