Individual
MRS. HOLLY MARIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
215 E MANSION ST STE 3A, MARSHALL, MI 49068-1559
(269) 789-0025
Mailing address
215 E MANSION ST STE 3A, MARSHALL, MI 49068-1559
(269) 789-0025
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704243878
MI
Other
Enumeration date
08/02/2016
Last updated
12/02/2024
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