Healthcare Provider Details

I. General information

NPI: 1346624889
Provider Name (Legal Business Name): HOPE KATHLEEN WEABER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HOPE KATHLEEN WEBER PA-C

II. Dates (important events)

Enumeration Date: 07/15/2015
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 NOLL DR STE 2000
LANCASTER PA
17603-7614
US

IV. Provider business mailing address

2221 NOLL DR STE 2000
LANCASTER PA
17603-7614
US

V. Phone/Fax

Practice location:
  • Phone: 717-715-1001
  • Fax: 717-431-2321
Mailing address:
  • Phone: 717-715-1001
  • Fax: 717-431-2321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA057618
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberMA057618
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: