Individual provider · Type 1 NPI
John Joseph Weatherwax, ARNP
Pediatric Nurse Practitioner · Scott Afb, IL
NPI number
1245224567
Active
Practice location
310 W Losey St
Scott Afb, IL 62225-5250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0017141525 (VA) |
| Registered Nurse | 163W00000X | ARNP 2749302 (FL) |
| Registered Nurse | 163W00000X | 0024171604 (VA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | ARNP2749302 (FL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1245224567
John Joseph Weatherwax, ARNP's National Provider Identifier is 1245224567, issued on Sep 1, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Scott Afb, IL. The record was last updated on Apr 16, 2018.