Individual
PHYLLIS JOY WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-4233
Mailing address
2679 BARCLAY ST, MAPLEWOOD, MN 55109-1999
(651) 773-3011
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R 140631-5
MN
Other
Enumeration date
09/13/2006
Last updated
08/19/2011
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