Individual
MRS. EMILY JEAN WEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1600 SAN FERNANDO RD, SAN FERNANDO, CA 91340-3115
(818) 365-8086
Mailing address
5003 SOUTHFORK DR, WICHITA FALLS, TX 76310-3717
(559) 304-6343
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
NP95009096
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP143015
TX
Other
Enumeration date
08/21/2018
Last updated
06/06/2022
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