Individual
ELLEN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
300 E MAIN ST STE C, CARMEL, IN 46032-1782
(317) 210-3722
(317) 296-7211
Mailing address
300 E MAIN ST STE C, CARMEL, IN 46032-1782
(317) 210-3722
(317) 296-7211
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37001373A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
01
—
922039
COMMISSION ON DIETETIC REGISTRATION
IN
Enumeration date
12/09/2022
Last updated
12/09/2022
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