Healthcare Provider Details

I. General information

NPI: 1861068975
Provider Name (Legal Business Name): ANDIE CINDY ELIZABETH WEBER CD, PPD, CLEC, CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2021
Last Update Date: 05/29/2021
Certification Date: 05/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 ARROWCREEK PKWY UNIT 20906
RENO NV
89511-5478
US

IV. Provider business mailing address

850 ARROWCREEK PKWY UNIT 20906
RENO NV
89511-5478
US

V. Phone/Fax

Practice location:
  • Phone: 775-848-8394
  • Fax:
Mailing address:
  • Phone: 775-848-8394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: