Individual
MICHELE L WEIRBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
3116 E 5TH ST, LONG BEACH, CA 90814-1406
(562) 434-0196
Mailing address
3116 E 5TH ST, LONG BEACH, CA 90814-1406
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP 19327
CA
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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