MRS. KHONNAH WEITHERS FNP-BC NPI 1447783188

NPI Information

  • NPI: 1447783188
  • Provider Name: MRS. KHONNAH WEITHERS, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 621 MEMORIAL DR
    SUITE 512
    SOUTH BEND, IN
    ZIP 46601
  • Phone: (574) 246-9350

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NPI Details

MRS. Khonnah Weithers, FNP-BC is a family nurse practitioner in South Bend, IN. MRS. Khonnah Weithers, FNP-BC NPI is 1447783188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

621 MEMORIAL DR
SUITE 512
SOUTH BEND, IN
ZIP 46601-063
Phone: (574) 246-9350

The enumeration date for this NPI number is 4/10/2017 and was last updated on 3/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily71007029AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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