Doctor Name: | KRISTI MARIE WEBER |
NPI Number: | 1023207040 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 110909 |
Business Practice Address: | 2119 Division Ave York, NE - 684671009 |
Business Phone Number: | 4023623353 |
Business Fax Number: | |
Mailing Address: | 521 2nd St, HAMPTON |
State: | NE |
Postal Code: | 688439337 |
Phone Number: | 4027253245 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2007 |
NPI Last Update Date: | 03/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 110909 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |