Provider Demographics
NPI:1700863305
Name:WEEMAN, PAULA A (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:A
Last Name:WEEMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:PAULA
Other - Middle Name:A
Other - Last Name:WEEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:3 OLD DOVER RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5932
Mailing Address - Country:US
Mailing Address - Phone:603-568-0699
Mailing Address - Fax:
Practice Address - Street 1:1990 DOVER ROAD
Practice Address - Street 2:
Practice Address - City:EPSOM
Practice Address - State:NH
Practice Address - Zip Code:03234-3604
Practice Address - Country:US
Practice Address - Phone:603-736-6200
Practice Address - Fax:603-736-6220
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH01514823363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99340012Medicaid
NH99340012Medicaid
WENP0206Medicare ID - Type Unspecified