ANDREA R WEIGAND

BOISE, ID
NPI1285873448
Former NameANDREA R HEVERN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2785)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NV  1161)
363AM0700X Physician Assistant, Medical
(Licence: MI  5601005914)
Enumeration Date2009-02-11
Last Update Date2024-07-23
Business Address
ANDREA R WEIGAND PA-C
848 S LA CASSIA DR
BOISE, ID 83705-2253
Phone number: 208-344-0086
Mailing Address
ANDREA R WEIGAND PA-C
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-467-4431