Doctor Name: | ANNE MARIE WELLER-PETERIE |
NPI Number: | 1316127418 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | 50565 |
Business Practice Address: | 363 Sunrise Blvd Romney, WV - 267574607 |
Business Phone Number: | 3048222120 |
Business Fax Number: | 3048224966 |
Mailing Address: | 363 Sunrise Blvd, ROMNEY |
State: | WV |
Postal Code: | 267574607 |
Phone Number: | 3048222120 |
Fax Number: | 3048224966 |
NPI Enumeration Date: | 11/07/2007 |
NPI Last Update Date: | 04/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 50565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |