Individual
JOANNE WEISZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9660 WICKER AVE, SAINT JOHN, IN 46373-9487
(219) 365-1177
Mailing address
15900 W 101ST AVE, DYER, IN 46311-3065
(219) 365-6333
(219) 365-8291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008685A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034385
—
IN
Enumeration date
01/14/2019
Last updated
03/19/2021
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