Individual
KYLIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3135 WILMINGTON RD, NEW CASTLE, PA 16105-1179
(724) 654-4118
Mailing address
3135 WILMINGTON RD, NEW CASTLE, PA 16105-1179
(724) 654-4118
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP022996
PA
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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