Individual
REBA S WEYMOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1970 N HWY 190, COVINGTON, LA 70433
(985) 867-8585
(985) 867-3644
Mailing address
PO BOX 3370, COVINGTON, LA 70434-3370
(985) 400-5988
(985) 256-5687
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
04133
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1591556
—
LA
Enumeration date
06/12/2006
Last updated
02/16/2021
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