Individual
COLLEEN MARIE WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
401 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2211
(301) 502-2494
Mailing address
112 QUARRY RD, STE 120, TRUMBULL, CT 06611-4877
(203) 268-3816
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
189734
CT
363L00000X
Nurse Practitioner
95010042
CA
Other
Enumeration date
07/30/2019
Last updated
06/29/2022
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