Individual
MRS. ELLEN DEBRA WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
117 COLUMBIA AVE, ELYRIA, OH 44035-6001
(614) 406-4158
Mailing address
117 COLUMBIA AVE, ELYRIA, OH 44035-6001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
444565
OH
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/20/2023
Last updated
11/22/2023
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