CRYSTALL L WEIDLE

TRIDENTUSA MOBILE CLINICAL SERVICES LLC

Dr CRYSTALL L WEIDLE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2008.

Contact

TRIDENTUSA MOBILE CLINICAL SERVICES LLC

2217 W AVE
ASHTABULA
OH
440043107

Tel: 4409648446

CRYSTALL L WEIDLE Information

Npi 1760874523
Pac Id 7517264179
Professional Enrollment Id I20160324001703
Last Name WEIDLE
First Name CRYSTALL
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2008
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TRIDENTUSA MOBILE CLINICAL SERVICES LLC
Group Practice Pac Id 6709030133
Number Of Group Practice Members 24
Line 1 Street Address 2217 W AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ASHTABULA
State OH
Zip Code 440043107
Phone Number 4409648446
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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