Provider Demographics
NPI:1447091269
Name:WEILER, JULIA COTINA (RN)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:COTINA
Last Name:WEILER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7271 JACKMAN RD
Mailing Address - Street 2:
Mailing Address - City:IDA
Mailing Address - State:MI
Mailing Address - Zip Code:48140-9519
Mailing Address - Country:US
Mailing Address - Phone:734-755-1148
Mailing Address - Fax:
Practice Address - Street 1:2456 10TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-4333
Practice Address - Country:US
Practice Address - Phone:734-265-6480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704161033163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse