Individual
JASON WEAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
17 BELMONT AVE STE 1, BRATTLEBORO, VT 05301-3498
(802) 257-0341
Mailing address
237 CARVER ST, GRANBY, MA 01033-9503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2277523
MA
367500000X
Certified Registered Nurse Anesthetist
089456-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
101.0135229
VT
367500000X
Certified Registered Nurse Anesthetist
RN2277523
MA
Other
Enumeration date
10/18/2011
Last updated
12/06/2022
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