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Individual
COLBY WEAVER
Active
Individual
COLBY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00887200
NJ
363L00000X
Nurse Practitioner
SP014858
PA
363LF0000X
Family Nurse Practitioner
SP014858
PA
Other
Enumeration date
03/20/2015
Last updated
04/29/2019
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