Provider Demographics
NPI:1255432969
Name:ALWEISS, GERALDINE ANNE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MS
First Name:GERALDINE
Middle Name:ANNE
Last Name:ALWEISS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:200 CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1923
Mailing Address - Country:US
Mailing Address - Phone:828-258-9068
Mailing Address - Fax:888-371-1218
Practice Address - Street 1:200 CHARLOTTE ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1923
Practice Address - Country:US
Practice Address - Phone:828-258-9068
Practice Address - Fax:888-371-1218
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL1262282207Q00000X
NC5005971363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1262282OtherNURSE PRACTITIONER LICENS
FLE3621Medicare ID - Type Unspecified