Individual
KELLY MARIE WEISBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 614-1400
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 614-1400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201123
CO
163WP0808X
Psychiatric/Mental Health Registered Nurse
201123
CO
Other
Enumeration date
09/06/2011
Last updated
08/26/2014
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