Individual
MS. MARYLOU M WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1301 EXECUTIVE BLVD STE 200, CHESAPEAKE, VA 23320-3671
(757) 312-3132
(757) 312-6212
Mailing address
667 KINGSBOROUGH SQ STE 101, CHESAPEAKE, VA 23320-4999
(757) 842-4481
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024030820
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010132461
—
VA
Enumeration date
02/22/2006
Last updated
03/20/2025
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