Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN JOSEPH WEATHERWAX, ARNP
ActiveDR. JOHN JOSEPH WEATHERWAX, ARNP is a Pediatric Nurse Practitioner healthcare provider located in SCOTT AFB, Illinois. NPI 1245224567 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · SCOTT AFB, IL
Registration Details
- NPI Number
- 1245224567
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2005 (20.922337092349 yrs)
- Last Updated
- Apr 16, 2018
- Licenses
-
0017141525 (VA)ARNP 2749302 (FL)0024171604 (VA)ARNP2749302 (FL)
Practice Information
- Address
-
310 W LOSEY STSCOTT AFB, IL, 622255250Browse IL providers · Browse ZIP 62225
- Phone
- 6182567525
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Pediatric Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.