Doctor Name: | MARIA THERESA WEIR |
NPI Number: | 1033485917 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2012007366 |
Business Practice Address: | 222 S Woods Mill Rd Suite 410n Chesterfield, MO - 630173625 |
Business Phone Number: | 3144696224 |
Business Fax Number: | 3144690744 |
Mailing Address: | 222 S Woods Mill Rd, Suite 410n CHESTERFIELD |
State: | MO |
Postal Code: | 630173625 |
Phone Number: | 3144696224 |
Fax Number: | 3144690744 |
NPI Enumeration Date: | 03/26/2012 |
NPI Last Update Date: | 03/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 2012007366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |