Provider Demographics
NPI:1366318065
Name:WEECARE PEDIATRICS PLLC
Entity type:Organization
Organization Name:WEECARE PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:STOUDT
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:509-230-3914
Mailing Address - Street 1:9705 W NELSON DR
Mailing Address - Street 2:
Mailing Address - City:NINE MILE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:99026-8651
Mailing Address - Country:US
Mailing Address - Phone:509-230-3914
Mailing Address - Fax:509-464-6959
Practice Address - Street 1:1717 W FRANCIS AVE STE 104
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-6858
Practice Address - Country:US
Practice Address - Phone:509-230-3914
Practice Address - Fax:509-464-6959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-11
Last Update Date:2025-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care