Individual
MRS. DEBRA SUE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
10211 ALM ST STE 212, RALEIGH, NC 27617
(919) 668-4000
Mailing address
10211 ALM ST STE 212, RALEIGH, NC 27617-8221
(919) 668-4000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
300353
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1913
—
SC
Enumeration date
04/18/2007
Last updated
06/23/2023
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