Individual
KAREN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
100 FODEN RD, WEST, SITE 303, SOUTH PORTLAND, ME 04106-2327
(207) 523-3767
(207) 523-8596
Mailing address
100 GANNETT DRIVE, SUITE C, SOUTH PORTLAND, ME 04106
(207) 347-2947
(207) 874-2317
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP81840
ME
363LP0200X
Pediatric Nurse Practitioner
R053966
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124189790
—
ME
01
—
200977
BCBS OF MAINE
ME
01
—
9652576
AETNA
ME
01
—
AA101294
HPHC
ME
Enumeration date
12/13/2006
Last updated
03/19/2026
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