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Individual

CHRISTINE LYNN WEERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1550 HOBBS DR, DELAVAN, WI 53115-2027
(262) 740-4200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1227-33
WI
363LG0600X
Gerontology Nurse Practitioner
115007-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1962684647
WI
05
36052900
WI
Enumeration date
12/04/2007
Last updated
04/03/2025
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