Individual
JULIE WIESS
Active
Individual
JULIE WIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
041422545
IL
363LF0000X
Family Nurse Practitioner
Primary
209022053
IL
Other
Enumeration date
04/07/2020
Last updated
04/04/2023
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