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Individual

KIMBERLY WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12 SHERRARD AVENUE, GREENVILLE, PA 16125
(724) 456-4551
Mailing address
12 SHERRARD AVENUE, GREENVILLE, PA 16125
(724) 456-4551

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP010645
PA

Other

Enumeration date
01/06/2010
Last updated
10/25/2012
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