Individual
AMY WEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
42 TOWN ST, NORWICH, CT 06360-2316
(860) 886-0567
Mailing address
42 TOWN ST, NORWICH, CT 06360-2316
(860) 886-0567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
006360
CT
Other
Enumeration date
12/14/2015
Last updated
05/02/2016
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