Provider Demographics
NPI:1366310021
Name:WEIDRINGER, RACHEL KRISTIN
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:KRISTIN
Last Name:WEIDRINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 CENTRAL AVE UNIT 49
Mailing Address - Street 2:
Mailing Address - City:SABINA
Mailing Address - State:OH
Mailing Address - Zip Code:45169-1447
Mailing Address - Country:US
Mailing Address - Phone:937-218-1403
Mailing Address - Fax:
Practice Address - Street 1:380 CENTRAL AVE UNIT 49
Practice Address - Street 2:
Practice Address - City:SABINA
Practice Address - State:OH
Practice Address - Zip Code:45169-1447
Practice Address - Country:US
Practice Address - Phone:937-218-1403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide