Provider Demographics
NPI:1922823053
Name:WEIEN, CATHERINE ANNE (RN, BSN, IBCLC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANNE
Last Name:WEIEN
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28271 LETICIA
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-2329
Mailing Address - Country:US
Mailing Address - Phone:785-317-4888
Mailing Address - Fax:
Practice Address - Street 1:28271 LETICIA
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-2329
Practice Address - Country:US
Practice Address - Phone:785-317-4888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95378542163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant