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Individual

BETH ANN WEIDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(303) 949-1250
Mailing address
52775 AVENIDA RAMIREZ, LA QUINTA, CA 92253-5300
(512) 689-8088

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0990379-NP
CO
363LF0000X
Family Nurse Practitioner
514070
TX
363LF0000X
Family Nurse Practitioner
NP95006166
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
94535272
CO
Enumeration date
09/19/2007
Last updated
06/17/2020
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