Individual
PAMELA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDM
Contact information
Practice address
231 E SWANSON, SUITE # 26, WASILLA, AK 99687
(907) 373-2672
(907) 373-3672
Mailing address
PO BOX 874553, WASILLA, AK 99687-4553
(907) 373-2672
(907) 373-3672
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
AA3
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NM0032
—
AK
Enumeration date
03/15/2007
Last updated
07/08/2007
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