Individual
SHANNON WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
361 HOSPITAL DR, SUITE 3400, EVERETT, PA 15537-7022
(814) 623-9712
Mailing address
361 HOSPITAL DR, SUITE 3400, EVERETT, PA 15537-7022
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
SP010147
PA
Other
Enumeration date
01/19/2009
Last updated
03/25/2021
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