Provider Demographics
NPI:1750313219
Name:WEINMEISTER, CHRISTINE JULIA (CNM, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:JULIA
Last Name:WEINMEISTER
Suffix:
Gender:F
Credentials:CNM, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 NE 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664-1913
Mailing Address - Country:US
Mailing Address - Phone:360-882-2778
Mailing Address - Fax:360-604-1762
Practice Address - Street 1:2415 NE 134TH ST STE 301
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-3029
Practice Address - Country:US
Practice Address - Phone:360-882-2778
Practice Address - Fax:360-604-1764
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60196006367A00000X
WAAP61562680363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1750313219Medicaid
Q46860Medicare UPIN