ANGELA WEIDNER


Address: 109 E Maple St, Gillespie, IL 62033-1473
Phone: 2178394190

ANGELA WEIDNER (NPI# 1093190324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093190324
Entity Type Individual
Full Name ANGELA WEIDNER
Practice Address 109 E Maple St
Gillespie
IL 62033-1473
Practice Telephone 2178394190
Practice Fax Number 2178391538
Mailing Telephone 2178394190
Mailing Fax Number 2178391538
Enumeration Date 2015-07-28
Last Update Date 2015-07-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP2201X Registered Nurse
Specialization: Ambulatory Care
041.389054 IL Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 376001351007 05

Office Location

Street Address 109 E MAPLE ST
City GILLESPIE
State IL
Zip Code 62033-1473

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710457007 Celeste Mary Govero Yann Social Worker 109 E Maple St, Gillespie, IL 62033-1473 2018-11-28
1952887416 Kate Elizabeth Traum Registered Nurse 109 E Maple St, Gillespie, IL 62033-1473 2018-07-17
1316441868 Sandra L Cania Nurse Practitioner 109 E Maple St, Gillespie, IL 62033-1473 2018-03-20
1578065413 Melinda S Edwards Nurse Practitioner 109 E Maple St, Gillespie, IL 62033-1473 2018-03-07
1447789169 Samantha Thomas Registered Nurse 109 E Maple St, Gillespie, IL 62033-1473 2017-06-06
1750814349 Macoupin County Public Health Department Public Health or Welfare 109 E Maple St, Gillespie, IL 62033-1473 2017-04-10
1720522808 Michelle Lucille Stroheker Counselor 109 E Maple St, Gillespie, IL 62033-1473 2016-12-08
1619345469 Donna Rasmussen Physician Assistant 109 E Maple St, Gillespie, IL 62033-1473 2015-09-10
1336522275 Christina Elizabeth Ventimiglia-brandt Nurse Practitioner 109 E Maple St, Gillespie, IL 62033-1473 2015-07-08
1538444906 Macoupin County Public Health Department Clinic/Center 109 E Maple St, Gillespie, IL 62033-1473 2011-10-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225596950 Laura Michelle Halpin Physical Therapist 607 Litchfield Road, Gillespie, IL 62033 2019-03-12
1770942716 Carol Candler Nurse Practitioner 109 East Maple Street, Maucoupin County Maple Street Clinic, Gillespie, IL 62033 2016-02-18
1932519618 Terry Allan Pharmacist 113 South Macoupin Street, Gillespie, IL 62033 2014-05-02
1649414558 Bernadette Kathlene Sobczak Nurse Practitioner 807 Broadway, Gillespie, IL 62033 2009-04-22
1376765206 Sheri Lynne Banovic Nurse Practitioner 115 South Macoupin Street, Gillespie, IL 62033 2007-05-02
1215044920 James Paul Verton Pharmacist 120 S Macoupin, Dippold Drug Co Inc, Gillespie, IL 62033 2006-08-25
1427575612 Beth Lynn Sies Speech-Language Pathologist 340 Kelly St, Gillespie, IL 62033 2017-08-28
1124135835 Bruce W Hughes Pharmacist 120 S Macoupin, Dippold Drug Co Inc, Gillespie, IL 62033 2006-08-25
1407474083 Staten Family Practice Pllc Clinic/Center 500 W Virginia Ave, Gillespie, IL 62033-1025 2020-07-09
1396244612 Carlinville Area Hospital Assn Clinic/Center 807 Broadway, Gillespie, IL 62033-1100 2018-02-02
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Taxonomy Information

Taxonomy Code 163WP2201X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Ambulatory Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184245094 Victoria M Bruns Registered Nurse 422 W Armitage Ave Unit B, Chicago, IL 60614-4513 2020-05-01
1982223707 Elizabeth Pircon Registered Nurse 1914 W Crystal St Apt 2f, Chicago, IL 60622-3561 2020-04-12
1770102568 Cecille Dizon Registered Nurse 1111 E Alder Ln, Mount Prospect, IL 60056-1403 2020-04-11
1104462738 Nusha Sylaj Jackson Registered Nurse 1656 N. Wells, Chicago, IL 60614-3224 2019-11-19
1831108208 Janette Sue Jones Registered Nurse 318 Walnut St, St Charles, IL 60174-2725 2006-08-05
1740812502 Jennifer Joan Tang Registered Nurse 5700 S Maryland Ave, Chicago, IL 60637-1426 2020-02-10
1609326073 Linda Gray Registered Nurse 805 N Broad St, Carlinville, IL 62626-1075 2016-10-10
1043760416 Ashley Konneker Registered Nurse 805 N Broad St, Carlinville, IL 62626-1075 2016-10-10
1649728072 Kelly Mclaughlin Registered Nurse 805 N Broad St, Carlinville, IL 62626-1075 2016-09-14
1902268410 Tatiana Alexeev Registered Nurse 3633 W Lake Ave Ste 303, Glenview, IL 60026-5803 2016-03-23
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Competitor

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City GILLESPIE
Zip Code 62033

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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