Individual provider · Type 1 NPI

Khonnah Weithers, FNP-BC

Family Nurse Practitioner · South Bend, IN

NPI number 1447783188 Active

Practice location

621 Memorial Dr, Suite 512
South Bend, IN 46601-1063

Mailing address

621 Memorial Dr Ste 512
South Bend, IN 46601-1075

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71007029A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1447783188

Khonnah Weithers, FNP-BC's National Provider Identifier is 1447783188, issued on Apr 10, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Bend, IN. The record was last updated on Mar 26, 2018.