Weiss, Marylou M

Weiss, Marylou M is an individual health care provider with primary practice located at 850 Kempsville Rd , Norfolk VA 23502-3920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Weiss, Marylou M can be contacted via phone (757) 466-5283.

Contact Information

Primary practice address
850 Kempsville Rd Norfolk VA 23502-3920
Phone: (757) 466-5283
Fax: (757) 466-5849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024030820 Virginia

Profile Details

NPI number 1598730632
LBN Legal business name Weiss, Marylou M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Nov 14th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598730632 NPPES
Virginia MEDICAID 010132461

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