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Nicole Marie Weidinger

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

900 23rd St NW, Washington, DC 20037-2342

PECOS Enrollment

This provider is enrolled in PECOS as NICOLE WEIDINGER.

Based on the most recent information from CMS, provider Nicole Marie Weidinger is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1467642173
Provider Type
Individual
Full Name
Weidinger, Nicole Marie
Title
Mrs.
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
7/29/2007
Last Updated
2/9/2011

Contact Information

Practice Location

900 23rd St NW, Washington, DC 20037-2342

(202) 715-5565

Mailing Location

900 23rd St NW, Washington, DC 20037-2342

(202) 715-5565

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN1011273 District of Columbia

Nicole Marie Weidinger

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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