Individual
CRYSTAL N WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC
Contact information
Practice address
859 E SOCIAL ROW RD, DAYTON, OH 45458-4709
(937) 999-9325
Mailing address
4297 HONEYBROOK AVE, DAYTON, OH 45415-1444
(937) 999-9325
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0027318
OH
Other
Enumeration date
08/12/2020
Last updated
10/11/2020
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