NPI | 1063563542 |
---|---|
Other Name | JOE WEIGEL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 16725) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA R.N. 586797) |
Enumeration Date | 2007-01-13 |
Last Update Date | 2023-03-07 |