| NPI | 1114488830 | 
|---|---|
| Other Name | KELLI M WEIGHTMAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011281)  | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95011281)  | 
| 363LC1500X Nurse Practitioner, Community Health (Licence: CA 95011281)  | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95011281)  | |
| Enumeration Date | 2019-03-26 | 
| Last Update Date | 2025-09-16 |