Provider Demographics
NPI:1336353614
Name:WEISBECKER, JANIE ZIMMER (CRNP)
Entity type:Individual
Prefix:
First Name:JANIE
Middle Name:ZIMMER
Last Name:WEISBECKER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 HORIZON DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914
Mailing Address - Country:US
Mailing Address - Phone:215-712-2545
Mailing Address - Fax:215-712-2540
Practice Address - Street 1:1300 HORIZON DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914
Practice Address - Country:US
Practice Address - Phone:215-712-2545
Practice Address - Fax:215-712-2540
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP006907C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health