Doctor Name: | MRS. CRISTA NOELLE WEBER |
NPI Number: | 1023049491 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | A112403 |
Business Practice Address: | 1500 Associates Dr Dubuque, IA - 520022201 |
Business Phone Number: | 5635844112 |
Business Fax Number: | 5635844110 |
Mailing Address: | 1500 Associates Dr, DUBUQUE |
State: | IA |
Postal Code: | 520022201 |
Phone Number: | 5635844112 |
Fax Number: | 5635844110 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 07/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A112403 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |