Healthcare Provider Details

I. General information

NPI: 1295379782
Provider Name (Legal Business Name): CHRISTIANA MARIE WEIGAND MSN APRN FNP-C CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2019
Last Update Date: 01/02/2024
Certification Date: 12/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CINCINNATI CHILDREN'S HOSPITAL 3333 BURNET AVE, ML 4000
CINCINNATI OH
45229
US

IV. Provider business mailing address

CINCINNATI CHILDREN'S HOSPITAL 3333 BURNET AVE, ML 4000
CINCINNATI OH
45229
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4681
  • Fax: 513-636-7844
Mailing address:
  • Phone: 513-636-4681
  • Fax: 513-636-7844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0029166
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3016032
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1126012
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.362117
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: