Healthcare Provider Details

I. General information

NPI: 1568395598
Provider Name (Legal Business Name): JUDITH MARIE WEINEL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JUDITH MARIE WEYER

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SAINT MARYS DR STE 400
EVANSVILLE IN
47714-0524
US

IV. Provider business mailing address

216 RIDGEWOOD LN
JASPER IN
47546-2247
US

V. Phone/Fax

Practice location:
  • Phone: 812-476-7523
  • Fax: 812-476-6686
Mailing address:
  • Phone: 812-639-8367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71018326A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28142245A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: