| Doctor Name: | DIANNE WEISNER |
| NPI Number: | 1033399597 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | NS-08270 |
| Business Practice Address: | 8423 Market St Bldg C, Suite 300 Boardman, OH - 445126778 |
| Business Phone Number: | 3305433276 |
| Business Fax Number: | 3305438489 |
| Mailing Address: | 8423 Market St, Bldg C, Suite 300 BOARDMAN |
| State: | OH |
| Postal Code: | 445126778 |
| Phone Number: | 3305433276 |
| Fax Number: | 3305438489 |
| NPI Enumeration Date: | 11/13/2007 |
| NPI Last Update Date: | 11/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | NS-08270 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |