Individual
TODD WEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
99 E STATE ST, GLOVERSVILLE, NY 12078-1203
(518) 725-8621
(518) 773-5669
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
101-0136760
VT
363L00000X
Nurse Practitioner
Primary
341666
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104815836
SMA MEDICAID NUMBER APPROVED
NV
01
—
V107377
SMA MEDICARE
NV
01
—
Y7878
MEDICARE CORE
FL
Enumeration date
10/15/2005
Last updated
12/28/2023
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