# MELISA WEAVER APRN - CNP PLLC

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

## Provider details

- **NPI number:** 1437492436
- **Authorized official:** MS. MELISA D. WEAVER APRN-CNP (OWNER / NURSE PRACTITIONER)
- **Authorized official phone:** (405) 359-3475

## Contact information

- **Practice address:** 1800 RENAISSANCE BLVD, SUITE 200, EDMOND, OK 73013-3023
- **Practice address phone:** (405) 359-2473
- **Practice address fax:** (405) 341-2495
- **Mailing address:** 1800 RENAISSANCE BLVD, SUITE 200, EDMOND, OK 73013-3023
- **Mailing address phone:** (405) 359-3475
- **Mailing address fax:** (405) 341-2495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | 71855 | OK | Yes |

## Other

- **Enumeration date:** 03/28/2013
- **Last updated:** 03/17/2018