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NPI Code Detail

MEDICARE: EMILY E WEISS N.P.

MEDICARE: EMILY E WEISS 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
1363L00000XNurse Practitioner158885-30WI

General Provider Information

NPI Number : 1619350667
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY E WEISS N.P.
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1102 S PARK ST FL 3
Second Line :
City : MADISON
State : WI
Zip : 53715-1708
Country : US
Telephone Number : 608-263-9550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2015
Last Update Date : 05/19/2026

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Directions to “ EMILY E WEISS N.P.” Practice Location

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