Provider Demographics
NPI:1144695313
Name:WEEMS, DESIREE T (FNP)
Entity type:Individual
Prefix:MS
First Name:DESIREE
Middle Name:T
Last Name:WEEMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DESIREE
Other - Middle Name:T
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1650 OSCEOLA DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-5038
Mailing Address - Country:US
Mailing Address - Phone:561-803-8880
Mailing Address - Fax:877-409-1795
Practice Address - Street 1:1650 OSCEOLA DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-5038
Practice Address - Country:US
Practice Address - Phone:561-803-8880
Practice Address - Fax:877-409-1795
Is Sole Proprietor?:No
Enumeration Date:2015-12-14
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9483026363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily