| 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 |