Individual
COURTNEY WEINTRAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1427 VINE ST FL 2, PHILADELPHIA, PA 19102-1031
(267) 507-6767
Mailing address
1427 VINE ST FL 2, PHILADELPHIA, PA 19102-1031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN703940
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN703940
REGISTERED NURSING LICENSE
PA
Enumeration date
12/16/2018
Last updated
12/16/2018
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