Individual
JUDITH HILARY WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RN, CNS
Contact information
Practice address
27 1ST ST SW, CROSBY, MN 56441-1417
(218) 545-1154
(218) 545-1155
Mailing address
PO BOX 102, 27 SW FIRST STREET, CROSBY, MN 56441-0102
(218) 545-1154
(218) 545-1155
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RO741961
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
531227200
—
MN
Enumeration date
07/19/2006
Last updated
01/09/2015
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