Individual
NICKOL WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10085 RED RUN BLVD STE 105, OWINGS MILLS, MD 21117-4811
(410) 581-7804
(410) 356-6507
Mailing address
10085 RED RUN BLVD STE 105, OWINGS MILLS, MD 21117-4811
(410) 581-7804
(410) 356-6507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R187292
MD
Other
Enumeration date
12/06/2021
Last updated
07/21/2026
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