Basic Information
| Provider Information | |||||||||
| NPI: | 1114466208 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WEESE | ||||||||
| FirstName: | SHEILA | ||||||||
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| Credential: | NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2910 EMERSON AVE | ||||||||
| Address2: | |||||||||
| City: | PARKERSBURG | ||||||||
| State: | WV | ||||||||
| PostalCode: | 261042519 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3044281900 | ||||||||
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| Practice Location | |||||||||
| Address1: | 201 2ND ST | ||||||||
| Address2: | |||||||||
| City: | SAINT MARYS | ||||||||
| State: | WV | ||||||||
| PostalCode: | 261701003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6816123501 | ||||||||
| FaxNumber: | 6816123504 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/22/2017 | ||||||||
| LastUpdateDate: | 06/08/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | APRN74631NP | WV | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.