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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

EDITH ELAINE WEATHERFORD CPNP
NPI 1063404804
Nurse Practitioner - Pediatrics in Marquette, MI

Active since August 18, 2005
1414 W FAIR AVE, #226, MARQUETTE, MI 49855(906) 225-3925(906) 225-4838 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edith Elaine Weatherford Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDITH ELAINE WEATHERFORD CPNP (NPI 1063404804) is an individual pediatrics provider in Marquette, Michigan, licensed in Michigan (4704161015) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1063404804
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameEDITH ELAINE WEATHERFORDCredential: CPNP
Location Address1414 W FAIR AVE, #226Marquette, MI 49855-2675
Mailing Address1414 W Fair Ave, #226Marquette, MI 49855-2675 · (906) 225-3925 · Fax (906) 225-4838
Phone(906) 225-3925
Fax(906) 225-4838
Sole ProprietorNo
Enumeration DateAugust 18, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1063404804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MI · 4704161015
1414 W FAIR AVE, Marquette, MI 49855
Open in Google Maps ↗

Other Identifiers 1

Medicaid4135841MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KIRK W MATTHEWS LMSW
Social Worker (Clinical)
1414 W FAIR AVE
MARQUETTE, MI 49855
Marquette County (906) 774-3300
MR. STEVEN M GUALDONI PAC
Physician Assistant
1414 W FAIR AVE, STE 332
MARQUETTE, MI 49855
Marquette County (906) 225-3922
PENINSULA PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1414 W FAIR AVE, SUITE 133
MARQUETTE, MI 49855
Marquette County (906) 225-3902
BOBBY Z JOSEPH M.D.
Allergy & Immunology
1414 W FAIR AVE, SUITE 216
MARQUETTE, MI 49855
Marquette County (906) 225-4725
NATHAN SAMUEL TAYLOR MD
Plastic Surgery (Surgery of the Hand)
1414 W FAIR AVE, SUITE 190
MARQUETTE, MI 49855
Marquette County (906) 225-1321
DR. PUSHPAMAL NAYANANGA SAMARARATNE MD
Student in an Organized Health Care Education/Training Program
1414 W FAIR AVE, SUITE 24
MARQUETTE, MI 49855
Marquette County (906) 225-3864
RODNEY RIESLAND NP
Nurse Practitioner (Primary Care)
1414 W FAIR AVE, STE 344
MARQUETTE, MI 49855
Marquette County (906) 225-3910
MANSOUR MIKY M.D.
Physical Medicine & Rehabilitation
1414 W FAIR AVE, SUITE 204
MARQUETTE, MI 49855
Marquette County (906) 225-7740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edith Weatherford's NPI number?

The NPI number for Edith Weatherford is 1063404804. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Edith Weatherford located?

Edith Weatherford practices at 1414 W Fair Ave #226, Marquette, MI 49855. The listed phone number is (906) 225-3925.

What is Edith Weatherford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Edith Weatherford was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.