Overview
Name: EDITH ELAINE WEATHERFORD CPNP
Specialty: Pediatric Nurse Practitioner
Type of Practice: Individual provider
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Practitioner
Specialization: Pediatrics.
Definition of Specialty: Definition to come…
License & NPI
License #(s): 4704161015, , , ,
License State(s): MI, , , ,
Addresses
Practice Location: 1414 W FAIR AVE,#226,MARQUETTE,MI,498552675,US
Mailing Address: 1414 W FAIR AVE,#226,MARQUETTE,MI,498552675,US
Contact #
Practice location phone #: 9062253925
Practice location fax #: 9062254838
Mailing address Phone #: 9062253925
Mailing Address fax #: 9062254838
Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/18/2005
Last data data was updated: 07/08/2007
Insurances: