Provider Demographics
NPI:1467458521
Name:WEYMAN, KATE (APRN)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:WEYMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:NERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:2 CHURCH ST S
Mailing Address - Street 2:SUITE 404
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1717
Mailing Address - Country:US
Mailing Address - Phone:203-764-6747
Mailing Address - Fax:203-764-6748
Practice Address - Street 1:2 CHURCH ST S
Practice Address - Street 2:SUITE 404
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1717
Practice Address - Country:US
Practice Address - Phone:203-764-6747
Practice Address - Fax:203-764-6748
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003103363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q24538Medicare UPIN
CT500001739Medicare PIN