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Individual
MRS. SANDRA L WEAVER
Active
Individual
MRS. SANDRA L WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LCNS
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
0001092919
VA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0015000490
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005510805
—
VA
01
—
081165
SENTARA PROVIDER NUMBER
VA
01
—
11527703
CAQH
VA
01
—
1164637518
GROUP NPI NUMBER
VA
01
—
117820
ANTHEM PROVIDER NUMBER
VA
01
—
187883
COMPSYCH PROVIDER NUMBER
VA
01
—
2028408
CIGNA PROVIDER NUMBER
VA
01
—
404227
TRICARE
VA
01
—
466967
VALUE OPTIONS PROVIDER NO
VA
01
—
C05754
MEDICARE GROUP NUMBER
VA
Enumeration date
08/13/2006
Last updated
07/31/2015
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