Individual provider · Type 1 NPI

Marissa Weidner, CRNP

Nurse Practitioner · Bethlehem, PA

NPI number 1861374134 Active

Practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

26 Red Tail Ct
Limerick, PA 19468-1489

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP028886 (PA)

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…

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About NPI 1861374134

Marissa Weidner, CRNP's National Provider Identifier is 1861374134, issued on Jul 25, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bethlehem, PA. The record was last updated on Jul 25, 2025.