Individual
MOLLY F WEEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201407282RN
OR
367A00000X
Advanced Practice Midwife
Primary
201407283NP-PP
OR
367A00000X
Advanced Practice Midwife
F001437
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500697504
—
OR
01
—
R186789
MEDICARE PTAN
OR
Enumeration date
06/26/2012
Last updated
06/24/2016
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