Dr. Ann M Weiss
Family Doctor Emergency Physician
6052 W State St
Boise
, Idaho 83703-2739
Dr. Ann M Weiss
Family Doctor Emergency Physician
6052 W State St
Boise
, Idaho 83703-2739
(208) 955-6503
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About
Features
Specialties
- Emergency Physician
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Ann M Weiss
- Po Box 191050
- Boise, ID
- Zip : 83719-1050
- Fax : (208) 955-6503
- Phone : (208) 955-6500
Second Address
- Dr. Ann M Weiss
- 6052 W State St
- Boise, ID
- Zip : 83703-2739
- Fax : (208) 344-7152
- Phone : (208) 344-7799
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 5120620 | WI |
| N | 207P00000X | Emergency Physician | M-10998 | ID |
| Y | 207Q00000X | Family Doctor | M-10998 | ID |
National Provider Identifier
| NPI | 1013094820 |
|---|---|
| Provider Name | Dr. Ann M Weiss |
| First Address | Boise, ID 83719-1050 |
| Second Address | Boise, ID 83703-2739 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 21/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013094820 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.