Individual
EMILY MARIE WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APNP
Contact information
Practice address
506 CROCKER ST STE 3, MAZOMANIE, WI 53560-9426
(608) 795-4110
Mailing address
PO BOX 160, PRAIRIE DU SAC, WI 53578-0160
(608) 643-3311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4496-33
WI
Other
Enumeration date
08/10/2011
Last updated
03/24/2021
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