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 |