Individual
BETH A WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3190 NORTHRIDGE DRIVE, HALE, MI 48739-9276
(989) 728-6000
(989) 728-6003
Mailing address
PO BOX 279, HALE, MI 48739-0279
(989) 728-6000
(989) 728-6003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704148660
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105230710
—
MI
01
—
500C510200
BCBCS
—
01
—
BW148660
LICENSE
MI
Enumeration date
10/11/2005
Last updated
04/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us