Individual
MRS. MELISA DAWN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 N BRYANT AVE STE 120, EDMOND, OK 73034-6291
(405) 832-6881
Mailing address
200 N BRYANT AVE STE 120, EDMOND, OK 73034-6291
(405) 832-6881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0071855
OK
Other
Enumeration date
03/08/2007
Last updated
05/11/2026
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