Individual
JAN R WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
316 PENN AVE, SCRANTON, PA 18503-1949
(610) 481-0481
(610) 481-0486
Mailing address
6900 HAMILTON BLVD REAR, TREXLERTOWN, PA 18087-9100
(610) 481-0481
(610) 481-0486
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN197603L
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
SP000581G
PA
Other
Enumeration date
06/06/2009
Last updated
01/11/2012
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