MEDICARE: CHRISTOPHER WILLIAM WEIGERT RN

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	163W00000X	Registered Nurse	87989	CT

General Provider Information

NPI Number	:	1417824996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER WILLIAM WEIGERT RN

Provider Business Mailing Address
First Line	:	250 HARRIS RD
Second Line	:
City	:	SMITHFIELD
State	:	RI
Zip	:	02917-1932
Country	:	US
Telephone Number	:	860-841-8189
Fax Number	:

Provider Business Practice Location Address
First Line	:	2093 PHILADELPHIA PIKE # 7030
Second Line	:
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2424
Country	:	US
Telephone Number	:	844-898-2549
Fax Number	:

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

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	10/20/2025

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