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Individual

CAMILLE A WEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
71 EAST AVE, SUITE V, NORWALK, CT 06851-4903
(203) 656-1452
(203) 656-1485
Mailing address
71 EAST AVE, STE H, NORWALK, CT 06851-4903
(203) 656-1452
(203) 656-1485

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
000316
CT
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
000316
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004242400
CT
Enumeration date
04/12/2006
Last updated
12/04/2017
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