Doctor Name: | MRS. JEANETTE MARLENE WEISER |
NPI Number: | 1528062262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP-C |
License Number: | 45120 |
Business Practice Address: | 709 Main Neodesha, KS - 667571634 |
Business Phone Number: | 6203252200 |
Business Fax Number: | 6203252410 |
Mailing Address: | Po Box 180, NEODESHA |
State: | KS |
Postal Code: | 667570180 |
Phone Number: | 6203252200 |
Fax Number: | 6203252410 |
NPI Enumeration Date: | 06/10/2005 |
NPI Last Update Date: | 10/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 45120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |