Basic Information
| Provider Information | |||||||||
| NPI: | 1871079541 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WEISER | ||||||||
| FirstName: | DEANNA | ||||||||
| MiddleName: | JOYCE | ||||||||
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| Credential: | DNP, FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 701 7TH AVE SW | ||||||||
| Address2: | |||||||||
| City: | JAMESTOWN | ||||||||
| State: | ND | ||||||||
| PostalCode: | 584014539 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7012534000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 300 2ND AVE NE | ||||||||
| Address2: | |||||||||
| City: | JAMESTOWN | ||||||||
| State: | ND | ||||||||
| PostalCode: | 58401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7012534000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2018 | ||||||||
| LastUpdateDate: | 08/02/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | R22471 | ND | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.