KENDALL ILIA-JOAN WEBER FNP-C NPI 1417473794

NPI Information

NPI: 1417473794
Provider Name: KENDALL ILIA-JOAN WEBER, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1214 E NATIONAL AVE STE 100
BRAZIL, IN
ZIP 47834
Phone: (812) 442-2820
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Kendall Ilia-joan Weber, FNP-C is a family nurse practitioner in Brazil, IN. Kendall Ilia-joan Weber, FNP-C NPI is 1417473794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1214 E NATIONAL AVE STE 100
BRAZIL, IN
ZIP 47834-700
Phone: (812) 442-2820

The NPI 1417473794 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2017 and was last updated on 1/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		71014856A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	71014856A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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