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NPI Code Detail

MEDICARE: ELISE WEISMAN APN

MEDICARE: ELISE WEISMAN APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ00181300NJ

General Provider Information

NPI Number : 1023473162
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISE WEISMAN APN
Provider Business Mailing Address
First Line : 6 MARION LN
Second Line :
City : SCOTCH PLAINS
State : NJ
Zip : 07076-2925
Country : US
Telephone Number : 917-566-6853
Fax Number :
Provider Business Practice Location Address
First Line : 1272 LONG HILL RD
Second Line :
City : STIRLING
State : NJ
Zip : 07980-1010
Country : US
Telephone Number : 908-504-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2015
Last Update Date : 12/16/2015

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