Individual
MS. HEATHER MARY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
622 BODART ST, GREEN BAY, WI 54301
(920) 437-9773
Mailing address
830 EAST RIVER DRIVE, APT F, DE PERE, WI 54115
(920) 336-4123
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1172033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43871800
—
WI
Enumeration date
04/10/2007
Last updated
06/16/2011
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