Individual
SAMANTHA RAE ANN WEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
401 NEWPORT BLVD, LA PORTE, IN 46350-4099
(219) 575-6244
Mailing address
3707 N PROMENADE CIR, LA PORTE, IN 46350-8287
(219) 221-0051
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
28266567A
IN
Other
Enumeration date
10/03/2025
Last updated
02/08/2026
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