Provider Demographics
NPI:1609037118
Name:WEISZ, VIRGINIA KATHLEEN (MS, WHNP)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:KATHLEEN
Last Name:WEISZ
Suffix:
Gender:F
Credentials:MS, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 8TH ST SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-3529
Mailing Address - Country:US
Mailing Address - Phone:540-929-4334
Mailing Address - Fax:
Practice Address - Street 1:515 8TH ST SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-3529
Practice Address - Country:US
Practice Address - Phone:540-929-4334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024100153363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health