Provider Demographics
NPI:1346624889
Name:WEABER, HOPE KATHLEEN (PA-C)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:KATHLEEN
Last Name:WEABER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HOPE
Other - Middle Name:KATHLEEN
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2221 NOLL DR STE 2000
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-7614
Mailing Address - Country:US
Mailing Address - Phone:717-715-1001
Mailing Address - Fax:717-431-2321
Practice Address - Street 1:2221 NOLL DR STE 2000
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-7614
Practice Address - Country:US
Practice Address - Phone:717-715-1001
Practice Address - Fax:717-431-2321
Is Sole Proprietor?:No
Enumeration Date:2015-07-15
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA057618363AM0700X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical