Healthcare Provider Details

I. General information

NPI: 1750313219
Provider Name (Legal Business Name): CHRISTINE JULIA WEINMEISTER CNM, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 NE 134TH ST STE 301
VANCOUVER WA
98686-3029
US

IV. Provider business mailing address

700 NE 87TH AVE
VANCOUVER WA
98664-1913
US

V. Phone/Fax

Practice location:
  • Phone: 360-882-2778
  • Fax: 360-604-1764
Mailing address:
  • Phone: 360-882-2778
  • Fax: 360-604-1762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61562680
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP60196006
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: