| Doctor Name: | KAREN WEISS |
| NPI Number: | 1124189790 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | R053966 |
| Business Practice Address: | 100 Foden Rd, West Site 303 South Portland, ME - 041062327 |
| Business Phone Number: | 2075233767 |
| Business Fax Number: | 2075238596 |
| Mailing Address: | 100 Foden Rd, West, Suite 203 SOUTH PORTLAND |
| State: | ME |
| Postal Code: | 041062327 |
| Phone Number: | 2078280361 |
| Fax Number: | 2078741483 |
| NPI Enumeration Date: | 12/13/2006 |
| NPI Last Update Date: | 08/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | R053966 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |