Individual provider · Type 1 NPI

Marissa Weideman

Student in an Organized Health Care Education/Training Program · Richland, WA

NPI number 1609728989 Active

Practice location

940 Northgate Dr
Richland, WA 99352-3505

Call (509) 542-4571 Map

Mailing address

3810 Atlanta Ln
Pasco, WA 99301-8591

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609728989

Marissa Weideman's National Provider Identifier is 1609728989, issued on Feb 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richland, WA. The record was last updated on Feb 10, 2026.