Individual
DENISE NOEL WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, MSN, RN
Contact information
Practice address
30 E 60TH ST, SUITE 302, NEW YORK, NY 10022-1008
(212) 737-9000
(212) 223-5700
Mailing address
176 AMSTERDAM AVE, BAYVILLE, NJ 08721-2172
(781) 820-3693
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
656566-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F337692-1
NY
Other
Enumeration date
04/23/2012
Last updated
08/30/2013
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