| Doctor Name: | LEAH G WEIDEMOYER |
| NPI Number: | 1043515190 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP011121 |
| Business Practice Address: | 920 Lawn Ave Suite 6 Sellersville, PA - 189601560 |
| Business Phone Number: | 2152578391 |
| Business Fax Number: | 2154536955 |
| Mailing Address: | Po Box 1111, HARLEYSVILLE |
| State: | PA |
| Postal Code: | 194380907 |
| Phone Number: | 2152578391 |
| Fax Number: | 2154536995 |
| NPI Enumeration Date: | 01/21/2011 |
| NPI Last Update Date: | 12/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | SP011121 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |