Healthcare Provider Details

I. General information

NPI: 1225218431
Provider Name (Legal Business Name): PATRICIA A WEIS CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. PATRICIA A MCMASTER

II. Dates (important events)

Enumeration Date: 11/06/2007
Last Update Date: 11/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 ARLINGTON AVE
TOLEDO OH
43614-2595
US

IV. Provider business mailing address

3355 GLENDALE AVE THIRD FLOOR
TOLEDO OH
43614-2426
US

V. Phone/Fax

Practice location:
  • Phone: 419-383-3556
  • Fax: 419-383-3550
Mailing address:
  • Phone: 419-383-7100
  • Fax: 419-383-2000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberRN151156
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: