Individual provider · Type 1 NPI

Marie Weatherwax, CPNP

Pediatric Nurse Practitioner · Indianapolis, IN

NPI number 1922474360 Active

Practice location

3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X71005677A (IN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1922474360

Marie Weatherwax, CPNP's National Provider Identifier is 1922474360, issued on Aug 20, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 14, 2015.