Individual
MARIA T. WEITFLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
5184 SOCIALVILLE FOSTER RD, MASON, OH 45040-9842
(513) 770-0953
(513) 770-5811
Mailing address
5184 SOCIALVILLE FOSTER RD, MASON, OH 45040-9842
(513) 770-0953
(513) 770-5811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.0377-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2161986
—
OH
01
—
P00339266
RR MEDICARE
OH
01
—
P01347544
RR MEDICARE
—
Enumeration date
06/02/2006
Last updated
09/30/2014
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