Provider Demographics
NPI:1497045736
Name:WEIHL, KRISTA JENNINGS (WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTA
Middle Name:JENNINGS
Last Name:WEIHL
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 1:5992 HOWDERSHELL RD STE 106
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-4109
Mailing Address - Country:US
Mailing Address - Phone:314-731-9393
Mailing Address - Fax:314-731-9396
Practice Address - Street 1:5992 HOWDERSHELL RD STE 106
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-4109
Practice Address - Country:US
Practice Address - Phone:314-731-9393
Practice Address - Fax:314-731-9396
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MORN131640363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology