Individual
MARY MUGGLI WEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2600 WILSON ST, MILES CITY, MT 59301-5094
(406) 233-2600
Mailing address
2600 WILSON ST, MILES CITY, MT 59301-5094
(406) 233-2600
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
127060
MT
363LA2200X
Adult Health Nurse Practitioner
127060
MT
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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