Individual
NICOLE MARIE WEAVER
Active
Individual
NICOLE MARIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1565133
MN
363LF0000X
Family Nurse Practitioner
Primary
0386
MN
Other
Enumeration date
09/11/2009
Last updated
08/13/2025
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