Provider Demographics
NPI:1770209124
Name:WEIGLE, PATRICIA ANN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:WEIGLE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1533 COMMERCE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-9128
Mailing Address - Country:US
Mailing Address - Phone:717-960-8956
Mailing Address - Fax:717-218-7557
Practice Address - Street 1:1533 COMMERCE AVE STE 2
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-9128
Practice Address - Country:US
Practice Address - Phone:717-960-8956
Practice Address - Fax:717-218-7557
Is Sole Proprietor?:No
Enumeration Date:2022-10-18
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP026264363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care