Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP2796542 | FL |
NPI | 1003184193 |
---|---|
Provider Name | Rita Ann Weber |
First Address | Lake Worth, FL 33461-3369 |
Second Address | Loxahatchee, FL 33470-9203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2011 |
Last Update Date | 05/12/2011 |