Provider Demographics
NPI:1194316067
Name:WEED, DEE ANN (RNFA)
Entity type:Individual
Prefix:MRS
First Name:DEE ANN
Middle Name:
Last Name:WEED
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 CLUB DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-8713
Mailing Address - Country:US
Mailing Address - Phone:205-590-5252
Mailing Address - Fax:
Practice Address - Street 1:134 CLUB DR
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-8713
Practice Address - Country:US
Practice Address - Phone:205-590-5252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO0109500163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant