Individual
ELAINA LYNN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
940 N MARR RD STE B, COLUMBUS, IN 47201-2610
(812) 375-0272
(812) 375-1093
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
28222814A
IN
Other
Enumeration date
04/12/2021
Last updated
09/09/2024
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