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NPI Code Detail

MEDICARE: CHRISTINE WEBER APRN,BC

MEDICARE: CHRISTINE WEBER APRN,BC
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
1364SP0809XAdult Psychiatric/Mental Health Clinical Nurse Specialist4770041331460MI

General Provider Information

NPI Number : 1992802086
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE WEBER APRN,BC
Provider Business Mailing Address
First Line : 12851 GRAND RIVER RD
Second Line :
City : BRIGHTON
State : MI
Zip : 48116-8506
Country : US
Telephone Number : 810-227-1211
Fax Number :
Provider Business Practice Location Address
First Line : 12851 GRAND RIVER RD
Second Line :
City : BRIGHTON
State : MI
Zip : 48116-8506
Country : US
Telephone Number : 810-227-1211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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Directions to “ CHRISTINE WEBER APRN,BC” Practice Location

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