Provider Demographics
NPI:1386428092
Name:WEATHERINGTON, CORI
Entity type:Individual
Prefix:
First Name:CORI
Middle Name:
Last Name:WEATHERINGTON
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 1:2571 ZEBEC ST
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-9028
Mailing Address - Country:US
Mailing Address - Phone:740-816-9004
Mailing Address - Fax:
Practice Address - Street 1:8565 CHICKASAW WAY
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-3629
Practice Address - Country:US
Practice Address - Phone:740-816-9004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker