Most Relevant Information
Provider Data
| NPI Number: | 1003673104 |
| Provider Name: | GABRIELLE MARIE WEBER PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 14888-33 |
Most Important Dates
| Enumeration Date: | 03/05/2024 |
| Last Updated: | 03/05/2024 |
Provider Practice Location
5703 MEMORIAL CT
WESTON
WI
544766502
Practice Location Phone/Fax
| Phone: | 7152049808 |
| Fax: |
Provider Mailing Location
5703 MEMORIAL CT
WESTON
WI
544766502
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |