Provider Demographics
NPI:1720523228
Name:WEINBERG, ALENA (FNP)
Entity Type:Individual
Prefix:
First Name:ALENA
Middle Name:
Last Name:WEINBERG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ALENA
Other - Middle Name:ROSE
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:420 WILLIAMSON WAY
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1251
Mailing Address - Country:US
Mailing Address - Phone:541-488-3616
Mailing Address - Fax:
Practice Address - Street 1:420 WILLIAMSON WAY
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1251
Practice Address - Country:US
Practice Address - Phone:541-488-3616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-20
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201609911NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily