Healthcare Provider Details

I. General information

NPI: 1477227601
Provider Name (Legal Business Name): NICOLE WEILAND PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2021
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5846 ELLSWORTH AVE
PITTSBURGH PA
15232-1708
US

IV. Provider business mailing address

461 BIDDLE AVE APT 1
PITTSBURGH PA
15221-3486
US

V. Phone/Fax

Practice location:
  • Phone: 412-388-4918
  • Fax:
Mailing address:
  • Phone: 412-722-9651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP454007
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: