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NPI Profile for KELLIE WEISENBURGER in UNDERWOOD, ND.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1134118748 |
|
| Status | Active | |
| Credentials | FNP (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 10/17/2005 | |
| Last updated | 02/15/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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KELLIE WEISENBURGER
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KELLIE WEISENBURGER, FNP