MEDICARE: WEODIA L JAMES FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	890814	NV

General Provider Information

NPI Number	:	1205721263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEODIA L JAMES FNP-C

Provider Business Mailing Address
First Line	:	5941 JASPER RIDGE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-2376
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5941 JASPER RIDGE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-2376
Country	:	US
Telephone Number	:	702-656-5670
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2025
Last Update Date	:	06/10/2025

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Directions to “ WEODIA L JAMES FNP-C” Practice Location

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