Provider Demographics
NPI:1639420953
Name:WEILAND, ANNE PITMAN (NP)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:PITMAN
Last Name:WEILAND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:ANNE
Other - Middle Name:WEILAND
Other - Last Name:SEIDES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:5300 27TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-1328
Mailing Address - Country:US
Mailing Address - Phone:202-364-2804
Mailing Address - Fax:202-364-2803
Practice Address - Street 1:5300 27TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-1328
Practice Address - Country:US
Practice Address - Phone:202-364-2804
Practice Address - Fax:202-364-2803
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN34762363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health