Individual provider · Type 1 NPI
Edith Elaine Weatherford, CPNP
Pediatric Nurse Practitioner · Marquette, MI
NPI number
1063404804
Active
Practice location
1414 W Fair Ave, #226
Marquette, MI 49855-2675
Fax (906) 225-4838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704161015 (MI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1063404804
Edith Elaine Weatherford, CPNP's National Provider Identifier is 1063404804, issued on Aug 18, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Marquette, MI. The record was last updated on Jul 13, 2026.