Provider Demographics
NPI:1861068975
Name:WEBER, ANDIE CINDY ELIZABETH (CD, PPD, CLEC, CLC)
Entity type:Individual
Prefix:MRS
First Name:ANDIE
Middle Name:CINDY ELIZABETH
Last Name:WEBER
Suffix:
Gender:F
Credentials:CD, PPD, CLEC, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 ARROWCREEK PKWY UNIT 20906
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-5478
Mailing Address - Country:US
Mailing Address - Phone:775-848-8394
Mailing Address - Fax:
Practice Address - Street 1:850 ARROWCREEK PKWY UNIT 20906
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-5478
Practice Address - Country:US
Practice Address - Phone:775-848-8394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-29
Last Update Date:2021-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator
No175T00000XOther Service ProvidersPeer Specialist