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NPI Code Detail

MEDICARE: ANITA ROSE WEIBEL

MEDICARE: ANITA ROSE WEIBEL
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
11041C0700XClinical Social Worker991318CO

General Provider Information

NPI Number : 1427044254
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITA ROSE WEIBEL
Provider Business Mailing Address
First Line : 538 HUNTINGTON HILLS DR
Second Line :
City : FT COLLINS
State : CO
Zip : 80525-4154
Country : US
Telephone Number : 970-226-4154
Fax Number : 970-226-4154
Provider Business Practice Location Address
First Line : 538 HUNTINGTON HILLS DR
Second Line :
City : FT COLLINS
State : CO
Zip : 80525-4154
Country : US
Telephone Number : 970-226-4154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 04/18/2008

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Directions to “ ANITA ROSE WEIBEL ” Practice Location

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