Individual provider · Type 1 NPI

Kelly Weisse, R.N.

General Practice Registered Nurse · Deerfield, WI

NPI number 1194156794 Active

Practice location

322 Washburn Rd
Deerfield, WI 53531-9577

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X185704-30 (WI)

General Practice Registered Nurse: Definition to come...

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About NPI 1194156794

Kelly Weisse, R.N.'s National Provider Identifier is 1194156794, issued on Dec 6, 2013. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Deerfield, WI. The record was last updated on Dec 6, 2013.