Individual
BRITANI R WEIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6425 W MEQUON RD, MEQUON, WI 53092-1855
(262) 242-0051
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6290
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100043493
—
WI
Enumeration date
03/23/2015
Last updated
03/28/2024
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