Individual
ROBERT KYLE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1111 W IRONWOOD DR, COEUR D ALENE, ID 83814-2604
(970) 457-7973
Mailing address
PO BOX 46, SANDPOINT, ID 83864-0046
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3381002
ID
390200000X
Student in an Organized Health Care Education/Training Program
Primary
9471164
ID
Other
Enumeration date
01/07/2026
Last updated
04/27/2026
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