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NPI Code Detail

MEDICARE: PATRICIA WETHERBEE

MEDICARE: PATRICIA WETHERBEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner53630CO

General Provider Information

NPI Number : 1033377080
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA WETHERBEE
Provider Business Mailing Address
First Line : 161 WASHINGTON ST FL 14
Second Line : EIGHT TOWER BRIDGE, SUITE 1400
City : CONSHOHOCKEN
State : PA
Zip : 19428-2083
Country : US
Telephone Number : 484-351-3206
Fax Number : 484-450-2617
Provider Business Practice Location Address
First Line : 1601 W 84TH AVE
Second Line :
City : FEDERAL HEIGHTS
State : CO
Zip : 80260-5001
Country : US
Telephone Number : 866-825-3227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2008
Last Update Date : 05/27/2008

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Directions to “ PATRICIA WETHERBEE ” Practice Location

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