Doctor Name: | CHRISTINE LYNN WEERTS |
NPI Number: | 1962684647 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 115007-030 |
Business Practice Address: | 2483 Corporate Cir East Troy, WI - 531202575 |
Business Phone Number: | 2626422000 |
Business Fax Number: | |
Mailing Address: | 2483 Corporate Cir, EAST TROY |
State: | WI |
Postal Code: | 531202575 |
Phone Number: | 2626422000 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2007 |
NPI Last Update Date: | 12/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 115007-030 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |