Provider Demographics
NPI:1326222407
Name:WEINGART, CAROL JAYNE (PHD, RN, LNC)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:JAYNE
Last Name:WEINGART
Suffix:
Gender:F
Credentials:PHD, RN, LNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH TROY
Mailing Address - State:VT
Mailing Address - Zip Code:05859-9497
Mailing Address - Country:US
Mailing Address - Phone:802-988-4090
Mailing Address - Fax:
Practice Address - Street 1:293 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH TROY
Practice Address - State:VT
Practice Address - Zip Code:05859-9497
Practice Address - Country:US
Practice Address - Phone:802-988-4090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-25
Last Update Date:2007-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026-0019276163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse