Individual
CHRISTY WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1181 STATE RT 157 SUITE 200, EDWARDSVILLE, IL 62025
(618) 288-8850
(618) 288-8943
Mailing address
6810 STATE RT 162 BOX 215, MARYVILLE, IL 62062-8501
(618) 391-6405
(618) 288-4088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012501
IL
Other
Enumeration date
01/30/2015
Last updated
03/10/2020
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