Individual provider · Type 1 NPI

Lacey M. Weller, NP

Nurse Practitioner · Charlton, NY

NPI number 1275973638 Active

Practice location

286 Stage Rd
Charlton, NY 12019-2618

Fax (518) 399-2130

Mailing address

711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X338016 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

7 other providers at this address

About NPI 1275973638

Lacey M. Weller, NP's National Provider Identifier is 1275973638, issued on Jul 1, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlton, NY. The record was last updated on May 2, 2018.