Individual
MS. DIANE J WEISENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
33100 CLEVELAND CLINIC BLVD, AVON, OH 44011-1390
(440) 695-4000
Mailing address
PO BOX 901681, CLEVELAND, OH 44190-1681
(440) 233-8181
(440) 233-8182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NA01069
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
NA01069
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2030000
—
OH
Enumeration date
08/30/2005
Last updated
08/30/2022
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