| Doctor Name: | JUDY WEITZEL |
| NPI Number: | 1558497180 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, APRN |
| License Number: | 15939 |
| Business Practice Address: | 242 Brunswick St Old Town, ME - 044681613 |
| Business Phone Number: | 2078271358 |
| Business Fax Number: | 2078276605 |
| Mailing Address: | Po Box 1599, BANGOR |
| State: | ME |
| Postal Code: | 044021599 |
| Phone Number: | 2078276128 |
| Fax Number: | |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 08/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | 15939 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |