Individual
ANNE S WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
35 HOPE DR STE 104, HERSHEY, PA 17033-2086
(717) 531-5160
(717) 531-2034
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA0005282L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031934780001
—
PA
Enumeration date
05/10/2006
Last updated
10/16/2018
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