Provider Demographics
NPI:1700468568
Name:WEINGART, EILEEN BRENNA (PA-C)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:BRENNA
Last Name:WEINGART
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:EILEEN
Other - Middle Name:BRENNA
Other - Last Name:FLYNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1971 TENNESSEE AVE N
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:TN
Mailing Address - Zip Code:38363-5049
Mailing Address - Country:US
Mailing Address - Phone:731-847-1428
Mailing Address - Fax:
Practice Address - Street 1:1971 TENNESSEE AVE N
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:TN
Practice Address - Zip Code:38363-5049
Practice Address - Country:US
Practice Address - Phone:731-847-1428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical