Organization
ELEVATION FAMILY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER S WEAVER FNP (PRESIDENT)
(304) 476-8497
Entity
Organization
Contact information
Practice address
1044 HITE CIR, FAIRMONT, WV 26554-9398
(304) 476-8497
(772) 238-2080
Mailing address
1044 HITE CIR, FAIRMONT, WV 26554-9398
(304) 476-8497
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114448768
—
WV
Enumeration date
09/16/2020
Last updated
02/01/2022
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