Individual
TAMMY E WEYENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1800 FREEDOM ROAD, SUITE A, LITTLE CHUTE, WI 54140-7153
(920) 968-2727
(713) 357-9038
Mailing address
1800 FREEDOM RD STE A, LITTLE CHUTE, WI 54140-3200
(920) 968-2727
(713) 357-9038
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3585-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3585-33
WI
Other
Enumeration date
11/24/2008
Last updated
10/28/2024
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