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NPI Code Detail

MEDICARE: ADAM O'NEAL WEIR NP

MEDICARE: ADAM O'NEAL WEIR NP
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
1363LF0000XFamily Nurse Practitioner71010247AIN
2363LP0808XPsychiatric/Mental Health Nurse Practitioner28174509AIN
3363LF0000XFamily Nurse Practitioner28174509AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
128174509AOTHERINRN

General Provider Information

NPI Number : 1457976615
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM O'NEAL WEIR NP
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE STE 200
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8150 BROOKVILLE RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46239-8903
Country : US
Telephone Number : 317-754-7784
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2020
Last Update Date : 07/31/2025

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