John Weatherwax, ARNP

NPI 1245224567 · on the registry since 2005

Practice

Address: 310 W Losey St
Scott Afb, IL 62225
Phone: (618) 256-7525
Organisation at this address: Dfas-Jfll/In
375th Medgrp-Scott
375th Medgrp-Scott
375th Medgrp-Scott
United States Air Force
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 114

Registry record

Primary taxonomy: 363LP0200X
363LP0200X
Also registered as: 163W00000X
163W00000X
163W00000X
Licence states on file: VA, FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois