| NPI | 1073801650 |
|---|---|
| Former Name | VALERIE ANN WEIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP4148) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AZ85747) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP4148) | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2021-05-12 |