Individual
CRYSTALL WEIDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP-C
Contact information
Practice address
3143 PATRICK CT, FRANKLIN, OH 45005-9469
(513) 292-2540
Mailing address
3143 PATRICK CT, FRANKLIN, OH 45005-9469
(513) 292-2540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 284411
OH
363LF0000X
Family Nurse Practitioner
Primary
COA-18880 NP
OH
Other
Enumeration date
03/03/2015
Last updated
03/03/2016
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