Individual
STACEY L WEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1318 W 11TH ST, COFFEYVILLE, KS 67337-3608
(620) 688-6373
Mailing address
3550 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2411
(918) 440-7208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
75843
KS
363L00000X
Nurse Practitioner
83490
OK
Other
Enumeration date
09/12/2012
Last updated
10/04/2017
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