Individual
MRS. ANDREA DEE WEINERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 W 57TH ST, CASPER, WY 82601-6420
(307) 797-4649
(307) 237-3311
Mailing address
820 W 57TH ST, CASPER, WY 82601-6420
(307) 797-4649
(307) 237-3311
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133970200
—
WY
Enumeration date
02/08/2013
Last updated
02/08/2013
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