# MICHELLE WEAVER, MD, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184941015
- **Authorized official:** MICHELLE WEAVER MD (OWNER)
- **Authorized official phone:** (501) 812-7216

## Contact information

- **Practice address:** 219 E CENTRAL ST, WARREN, AR 71671-3405
- **Practice address phone:** (501) 812-7216
- **Mailing address:** 11001 EXECUTIVE CENTER DR, SUITE 200, LITTLE ROCK, AR 72211-4316
- **Mailing address phone:** (501) 812-7800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | E-5904 | AR | — |

## Other

- **Enumeration date:** 05/03/2010
- **Last updated:** 05/04/2010