Provider Demographics
NPI:1649431248
Name:WEPPNER, BETH WHEELER (PA-C)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:WHEELER
Last Name:WEPPNER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:BETH
Other - Middle Name:ANN
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:440 SOUTHRIDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-3791
Mailing Address - Country:US
Mailing Address - Phone:540-829-4374
Mailing Address - Fax:540-829-4178
Practice Address - Street 1:440 SOUTHRIDGE PKWY
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3791
Practice Address - Country:US
Practice Address - Phone:540-829-4374
Practice Address - Fax:540-829-4178
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110002726363A00000X
FLPA9107514363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant