# METTA KATHERINE LEE WEAVER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306397088
- **Gender:** F
- **Credential:** APRN, CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 10009959 | OR | — |
| 163W00000X | Registered Nurse | 54221 | ID | — |
| 367A00000X | Advanced Practice Midwife | 13419449-4402 | UT | — |
| 367A00000X | Advanced Practice Midwife | 2023027340 | MO | — |
| 367A00000X | Advanced Practice Midwife | 54221 | ID | Yes |
| 367A00000X | Advanced Practice Midwife | 852 | NM | — |

## Other

- **Enumeration date:** 10/18/2016
- **Last updated:** 08/25/2023