Individual
GEORGIANN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
525 N GARLAND AVE, FAYETTEVILLE, AR 72701-3110
(479) 575-4478
Mailing address
525 N GARLAND AVE, FAYETTEVILLE, AR 72701-3110
(479) 575-4478
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
ARNP9162426
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP 9162426
FL
367A00000X
Advanced Practice Midwife
ARNP 9162426
FL
367A00000X
Advanced Practice Midwife
Primary
M002128
AR
Other
Enumeration date
05/07/2007
Last updated
11/22/2016
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