Individual
KAY A WEINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
200 THEDA CLARK MEDICAL PLZ, SUITE 130, NEENAH, WI 54956-2721
(920) 729-7105
Mailing address
3232 N BALLARD RD STE 100, APPLETON, WI 54911-8804
(920) 729-7105
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2497-33
WI
367A00000X
Advanced Practice Midwife
Primary
107765
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41192200
—
WI
Enumeration date
08/30/2006
Last updated
04/27/2022
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