MEDICARE: ANDREA K WEED D.O.

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	207R00000X	Internal Medicine Physician	675	NV

General Provider Information

NPI Number	:	1487694030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA K WEED D.O.

Provider Business Mailing Address
First Line	:	812 N NEVADA ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89703-3933
Country	:	US
Telephone Number	:	775-841-2100
Fax Number	:	775-841-7239

Provider Business Practice Location Address
First Line	:	812 NORTH NEVADA STREET
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89703-3919
Country	:	US
Telephone Number	:	775-841-2100
Fax Number	:	775-841-7239

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	08/04/2022

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Directions to “ ANDREA K WEED D.O.” Practice Location

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