NPI

Ty C Weber

NPI 1457865388

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
FNP-C
Type
Individual
Enumeration date
2017-11-30
Last updated
2025-12-13

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Specialties

Licenses

License ID
5671037
License OR
201808187NP-PP

Location

Practice location
1102 E Locust St
City
Emmett ID
Postal code
83617-2713
Phone
(208) 365-6004

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Emmett, ID. 251 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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