Individual
STEPHANIE A WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-6550
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-6550
(412) 359-6494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP006900M
PA
363LA2200X
Adult Health Nurse Practitioner
VP006900M
PA
Other
Enumeration date
10/13/2006
Last updated
10/01/2020
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