Doctor Name: | SUSAN MARIE RINALDI WELDON |
NPI Number: | 1053388769 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA14515 |
Business Practice Address: | 94-235 Hanawai Cir Suite 1b Waipahu, HI - 967973029 |
Business Phone Number: | 8086710090 |
Business Fax Number: | 8086715376 |
Mailing Address: | 92-1246 Kaleo Pl, KAPOLEI |
State: | HI |
Postal Code: | 967071535 |
Phone Number: | 8086727246 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA14515 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |