Provider Demographics
NPI:1558580159
Name:WEISSINGER, MARIE PATRICIA (ARNP)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:PATRICIA
Last Name:WEISSINGER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7955 66TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-2161
Mailing Address - Country:US
Mailing Address - Phone:727-541-3362
Mailing Address - Fax:727-544-4015
Practice Address - Street 1:7955 66TH ST STE D
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-2161
Practice Address - Country:US
Practice Address - Phone:727-541-3362
Practice Address - Fax:727-544-4015
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2786242363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS93008Medicare UPIN
FLE3285ZMedicare ID - Type Unspecified