Provider Demographics
NPI:1114464120
Name:WEINAND, KATHERINE RICHARDSON (CPNP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:RICHARDSON
Last Name:WEINAND
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 NORMAL HILL RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5745
Mailing Address - Country:US
Mailing Address - Phone:774-437-2427
Mailing Address - Fax:
Practice Address - Street 1:50 NORMAL HILL RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5745
Practice Address - Country:US
Practice Address - Phone:774-437-2427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-28
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2306563163W00000X, 363LP0200X
NJ26NJ00773100363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse