Individual
YI J WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2566 S 4850 W, WEST HAVEN, UT 84401-9657
(385) 245-3996
Mailing address
2566 S 4850 W, WEST HAVEN, UT 84401-9657
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
88677843102
UT
363LF0000X
Family Nurse Practitioner
Primary
8867784-4405
UT
Other
Enumeration date
02/29/2024
Last updated
02/23/2025
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