Individual
MRS. RITA M WEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
ONE HOAG DRIVE, NEWPORT BEACH, CA 92663
(949) 764-5314
Mailing address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-5314
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95006855
CA
Other
Enumeration date
08/16/2017
Last updated
03/17/2018
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