# CASEY MICHELLE WEAVER

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

## Provider details

- **NPI number:** 1518230929
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 2012005135 | MO | — |
| 363A00000X | Physician Assistant | PA-495 | AR | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |

## Other

- **Enumeration date:** 02/15/2012
- **Last updated:** 07/10/2024