Individual
WAYNE A WEISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NPC
Contact information
Practice address
13943 N 91ST AVE, #H-101, PEORIA, AZ 85381-3629
(623) 977-1331
(623) 977-1449
Mailing address
13943 N 91ST AVE, #H-101, PEORIA, AZ 85381-3629
(623) 977-1331
(623) 977-1449
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN097116
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91209226
—
CO
Enumeration date
12/13/2005
Last updated
11/03/2010
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