Provider Demographics
NPI:1992545735
Name:WEILER, ABBIGAIL HANNAH
Entity type:Individual
Prefix:
First Name:ABBIGAIL
Middle Name:HANNAH
Last Name:WEILER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ABBIGAIL
Other - Middle Name:HANNAH
Other - Last Name:WEILER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:10605 SHANNON VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-5814
Mailing Address - Country:US
Mailing Address - Phone:254-315-3667
Mailing Address - Fax:
Practice Address - Street 1:120 SAINT LOUIS AVE UNIT 200
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-1256
Practice Address - Country:US
Practice Address - Phone:682-285-1044
Practice Address - Fax:855-361-0894
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1190655363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily