Individual
ANITA M WEITENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7 MARSH BROOK DR, SOMERSWORTH, NH 03878
(603) 742-2007
(603) 749-4605
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(617) 726-3884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1223
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3106649
—
NH
Enumeration date
12/09/2016
Last updated
08/28/2023
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