Weller, David Wayne

Weller, David Wayne is an individual health care provider with primary practice located at 1673 Columbus Rd , West Sacramento CA 95691-4902. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Weller, David Wayne can be contacted via phone (916) 813-9333.

Contact Information

Primary practice address
1673 Columbus Rd West Sacramento CA 95691-4902
Fax: (916) 374-0340
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13720 California

Profile Details

NPI number 1033388723
LBN Legal business name Weller, David Wayne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2008
Last updated Feb 27th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033388723 NPPES
Other 0376959-22 ANCC

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