MEDICARE: JULIE CHRISTINE WEISENBACHER A.R.N.P.

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
1	363LF0000X	Family Nurse Practitioner	ARNP 3082052	FL

General Provider Information

NPI Number	:	1528396801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE CHRISTINE WEISENBACHER A.R.N.P.

Provider Business Mailing Address
First Line	:	120A BUTLER STREET
Second Line	:	DERMATOLOGY ASSOCIATES PA OF THE PALM BEACHES
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407
Country	:	US
Telephone Number	:	561-659-1510
Fax Number	:

Provider Business Practice Location Address
First Line	:	3654 SW 30TH AVE
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-3700
Country	:	US
Telephone Number	:	772-403-2228
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2009
Last Update Date	:	11/25/2009

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