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Individual

MARY KAYE WEIS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R0761255
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1001298
PREFERRED ONE
01
112800
U CARE
01
HP28923
HEALTH PARTNERS
Enumeration date
10/25/2005
Last updated
07/08/2007
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