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Individual
KAITLYN WEAVER
Active
Individual
KAITLYN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11001901
FL
363L00000X
Nurse Practitioner
Primary
APRN11001901
FL
363LG0600X
Gerontology Nurse Practitioner
903114
MS
Other
Enumeration date
02/18/2019
Last updated
12/04/2024
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