Individual
BRYAN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 W COMMONS BLVD STE 400, NEW CASTLE, DE 19720-2419
(302) 709-4709
Mailing address
226 MCCLELLAN ST, PHILADELPHIA, PA 19148-1919
(267) 221-9056
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A11029
DE
Other
Enumeration date
08/02/2023
Last updated
12/30/2024
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