Weber, Heather Mary

Weber, Heather Mary is an individual health care provider with primary practice located at 622 Bodart St , Green Bay WI 54301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Weber, Heather Mary can be contacted via phone (920) 437-9773.

Contact Information

Primary practice address
622 Bodart St Green Bay WI 54301
Phone: (920) 437-9773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1172033 Wisconsin

Profile Details

NPI number 1750504916
LBN Legal business name Weber, Heather Mary
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jun 16th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750504916 NPPES
Wisconsin MEDICAID 43871800

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