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Individual
STEPHANIE J WEIGT
Active
Individual
STEPHANIE J WEIGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71003382
IN
363LF0000X
Family Nurse Practitioner
Primary
71003382A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000742888
ANTHEM
IN
05
—
201004980
—
IN
Enumeration date
08/06/2010
Last updated
03/21/2024
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