Individual
CRYSTAL WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
PO BOX 42, MANCHESTER, MD 21102-0042
(443) 326-9676
Mailing address
PO BOX 42, MANCHESTER, MD 21102-0042
(443) 326-9676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R196134
MD
Other
Enumeration date
05/18/2016
Last updated
04/07/2026
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