Individual
ANDREW BRION WEATHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5734 COVENTRY LN, FORT WAYNE, IN 46804-7141
(260) 436-7875
Mailing address
8584 NORTH750 WEST, HUNTINGTON, IN 46750
(765) 401-0005
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28188820A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28188820A
IN
Other
Enumeration date
08/09/2022
Last updated
10/30/2022
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