Michele Lee Wiegmann-ross CPNP

NPI 1619169968 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1619169968
Gender Female
Enumeration Date 08/10/2007
Last Updated 07/13/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1115 MOUNT ZION RD
SUITE E
MORROW GA, 30260-2266, US
Phone (770) 960-9999
Fax (770) 960-0931
Business Location
1115 MOUNT ZION RD
SUITE E
MORROW GA, 30260-2266, US
Phone (770) 960-9999
Fax (770) 858-8651
Toxanomy
Taxonomy Code 363LP0200X
License State Georgia
License Number RN145899NP
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According to our database, Mrs. Michele Lee Wiegmann-ross CPNP NPI is 1619169968, taxonomy code is 363LP0200X and license number is RN145899NP, license state is located at Georgia. Michele Lee Wiegmann-ross CPNP physically located at 1115 Mount Zion Rd, Morrow GA, 30260-2266. NPI Number Michele Lee Wiegmann-ross CPNP has the Individual type.

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1619169968 NPI number is provided on an as is basis without warranty of any kind. 1619169968 is maintained by the National Plan & Provider Enumeration System. The contents of Michele Lee Wiegmann-ross CPNP are for informational purposes only.