Provider Demographics
NPI:1710199070
Name:WEE CARE PEDIATRICS LLC
Entity Type:Organization
Organization Name:WEE CARE PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:N
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-891-0246
Mailing Address - Street 1:4107 LAFAYETTE BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-4266
Mailing Address - Country:US
Mailing Address - Phone:540-891-0246
Mailing Address - Fax:540-891-0584
Practice Address - Street 1:4107 LAFAYETTE BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-4266
Practice Address - Country:US
Practice Address - Phone:540-891-0246
Practice Address - Fax:540-891-0584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101044803208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty