Mary Virginia Deary-Weiss, APRN
Nurse Practitioner, Adult Health in St Petersburg, FL. Individual provider (NPI-1).
NPI number1699415299
StatusActive
Last updated in NPPESMar 31, 2022
Details
- NPI
- 1699415299
- Entity type
- Individual (NPI-1)
- Name
- Mary Virginia Deary-Weiss
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2022
- Certification date
- Mar 18, 2022
- Last updated
- Mar 31, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 1050972 | FL | Yes |
Practice location
5501 4th St NSt Petersburg, FL 33703-2251
Phone 727-327-0333
Mailing address
242 1176th Terr Dr EastRedington Shores, FL 33708
Phone 813-967-3416
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