Provider Demographics
NPI:1912100272
Name:WEIR, TONI LEANN (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:LEANN
Last Name:WEIR
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3348 MORNINGWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-0343
Mailing Address - Country:US
Mailing Address - Phone:909-258-0774
Mailing Address - Fax:
Practice Address - Street 1:3348 MORNINGWOOD CT
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-0343
Practice Address - Country:US
Practice Address - Phone:909-258-0774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA817559163W00000X, 163WI0500X
CA182619164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163W00000XNursing Service ProvidersRegistered Nurse
No164X00000XNursing Service ProvidersLicensed Vocational Nurse