Individual
KATHRYN NORGENIA WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
35 W HURON ST, SUITE 10 S, PONTIAC, MI 48342-2120
(248) 335-0632
Mailing address
45087 TIVERTON, NOVI, MI 48377-1399
(248) 335-0632
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704069300
MI
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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