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Individual

KIRSTEN ELISE WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1886 ROHRERSTOWN RD, LANCASTER, PA 17601-2322
(717) 735-1920
(717) 735-1921
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP017862
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103417060
PA
01
14141160
CAQH
01
RN333732L
STATE LICENSE - RN
PA
01
SP017862
STATE LICENSE - CRNP
PA
Enumeration date
09/01/2017
Last updated
03/07/2023
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