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Individual

STACY S WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, APRN

Contact information

Practice address
70 DOCTORS DR, PANAMA CITY, FL 32405-4517
(850) 785-1571
Mailing address
4231 DAIRY FARM RD, PANAMA CITY, FL 32404-3099
(850) 814-0314

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11038777
FL
367A00000X
Advanced Practice Midwife
Primary
APRN11038777
FL

Other

Enumeration date
04/08/2025
Last updated
04/08/2025
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