Healthcare Provider Details

I. General information

NPI: 1528871621
Provider Name (Legal Business Name): CLAIRE ELIZABETH WECHE AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2865 ROUTE 6
SLATE HILL NY
10973-3815
US

IV. Provider business mailing address

2865 ROUTE 6
SLATE HILL NY
10973-3815
US

V. Phone/Fax

Practice location:
  • Phone: 845-321-6650
  • Fax:
Mailing address:
  • Phone: 845-697-5058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number312210
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: