Healthcare Provider Details

I. General information

NPI: 1265500680
Provider Name (Legal Business Name): JOAN MCCARTHY WEGLEIN WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 11/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 N 7TH ST PLANNED PARENTHOOD KEYSTONE
STROUDSBURG PA
18360-2110
US

IV. Provider business mailing address

PO BOX 813
TREXLERTOWN PA
18087-0813
US

V. Phone/Fax

Practice location:
  • Phone: 570-424-8306
  • Fax: 570-476-2698
Mailing address:
  • Phone: 610-481-0481
  • Fax: 610-481-0486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NJ00121800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: