Individual
STEPHEN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3333 S WADSWORTH BLVD UNIT D100, LAKEWOOD, CO 80227-5117
(303) 205-1090
(303) 205-5534
Mailing address
1798 AQUAMARINE WAY, CASTLE ROCK, CO 80108-7720
(915) 274-4356
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
713551
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0991137-CRNA
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84325852
—
CO
Enumeration date
01/11/2010
Last updated
05/20/2014
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