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Individual

MS. ALEXIS WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP, PMHNP-BC

Contact information

Practice address
1289 E LIVINGSTON AVE, COLUMBUS, OH 43205-2838
(614) 252-0660
Mailing address
528 CRESTVIEW RD, COLUMBUS, OH 43202-2243
(937) 750-7414

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
446830
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
025037
OH

Other

Enumeration date
06/27/2019
Last updated
07/02/2019
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