Individual
MS. KRISTINE MARIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
232 S MAIN ST STE A, CULVER, IN 46511
(574) 335-7780
(574) 335-0730
Mailing address
707 CEDAR ST STE 200, SOUTH BEND, IN 46617-2057
(574) 335-8707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002758A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000878284
BCBS
IN
01
—
000001170309
BCBS (ELM RD)
IN
01
—
187720061
MEDICARE
IN
05
—
200936570
—
IN
01
—
P01942591
RR MEDICARE
IN
Enumeration date
09/23/2008
Last updated
09/12/2025
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