Doctor Name: | JOAN M WEILAND |
NPI Number: | 1225227341 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | |
Business Practice Address: | 412 Pleasant St Eagle, WI - 531192244 |
Business Phone Number: | 2625942524 |
Business Fax Number: | |
Mailing Address: | 412 Pleasant St, EAGLE |
State: | WI |
Postal Code: | 531192244 |
Phone Number: | 2625942524 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2007 |
NPI Last Update Date: | 10/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |