Provider Demographics
NPI:1851156707
Name:NANCY WESTON DNP APRN FNP-C LLC
Entity Type:Organization
Organization Name:NANCY WESTON DNP APRN FNP-C LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP APRN FNP-C
Authorized Official - Phone:435-625-9770
Mailing Address - Street 1:PO BOX 126
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:UT
Mailing Address - Zip Code:84064-0126
Mailing Address - Country:US
Mailing Address - Phone:435-625-9770
Mailing Address - Fax:
Practice Address - Street 1:120 S MAIN ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:UT
Practice Address - Zip Code:84064-7701
Practice Address - Country:US
Practice Address - Phone:435-771-6799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty