Individual
MRS. MACEY ELIZABETH WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
2393 NEW GLASGOW RD, SCOTTSVILLE, KY 42164-8433
(615) 879-0128
Mailing address
2393 NEW GLASGOW RD, SCOTTSVILLE, KY 42164-8433
(615) 879-0128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013097
KY
Other
Enumeration date
04/22/2019
Last updated
04/30/2019
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