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Individual

MARTHA L WEINZAPFEL-DICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
1312 PROFESSIONAL BLVD, SUITE 200, EVANSVILLE, IN 47714-8007
(812) 491-6419
(812) 491-6465
Mailing address
1401 PROFESSIONAL BLVD STE 101, EVANSVILLE, IN 47714-8011
(812) 491-6419
(812) 491-6465

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
3008090
KY
363LA2100X
Acute Care Nurse Practitioner
71002918A
IN
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
3008090
KY
364SA2100X
Acute Care Clinical Nurse Specialist
71002918A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200990730
IN
Enumeration date
04/16/2009
Last updated
02/27/2019
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