Provider Demographics
NPI:1255198172
Name:WEYBRECHT, KRYSTEN
Entity type:Individual
Prefix:
First Name:KRYSTEN
Middle Name:
Last Name:WEYBRECHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-3911
Mailing Address - Country:US
Mailing Address - Phone:440-537-6404
Mailing Address - Fax:
Practice Address - Street 1:1001 PARKVIEW DR
Practice Address - Street 2:
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131-3911
Practice Address - Country:US
Practice Address - Phone:440-537-6404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker