Provider Demographics
NPI:1912736125
Name:WEBER, CAREY ARLENE (CPSS)
Entity type:Individual
Prefix:MS
First Name:CAREY
Middle Name:ARLENE
Last Name:WEBER
Suffix:
Gender:F
Credentials:CPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 S ORCHARD ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83705-1916
Mailing Address - Country:US
Mailing Address - Phone:208-344-9797
Mailing Address - Fax:208-344-9898
Practice Address - Street 1:921 S ORCHARD ST STE 100
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-1916
Practice Address - Country:US
Practice Address - Phone:208-344-9797
Practice Address - Fax:208-344-9898
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist