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AUDREY LISA WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
605 S GEORGE ST, STE 200, YORK, PA 17401-3160
(717) 851-2334
(717) 851-3498
Mailing address
1803 MOUNT ROSE AVE, STE B3, YORK, PA 17403-3026
(717) 851-6816
(717) 851-6892

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP006990B
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1550633
GATEWAY MEDICARE ASSURED
PA
01
2688767
HIGHMARK BLUE SHIELD
PA
01
50000329
CAPITAL BLUE CROSS
PA
01
500027775
RAILROAD MEDICARE
PA
01
P64691
HEALTH ASSURANCE
PA
Enumeration date
03/16/2006
Last updated
05/06/2013
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