Individual
MRS. ANNA WAGNER WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2305 VIDINA DR STE 102, MELBOURNE, FL 32940-8066
(321) 441-8332
(321) 319-4931
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9415945
FL
363LF0000X
Family Nurse Practitioner
Primary
RN180536
GA
Other
Enumeration date
04/07/2016
Last updated
09/26/2025
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