Individual
MEGAN C WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7979 N SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46250-2042
(317) 621-4300
(317) 621-4301
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71003673A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000810022
ANTHEM
IN
05
—
201035290
—
IN
01
—
9675788
AETNA
IN
01
—
P01289641
MEDICARE RR
IN
01
—
P01751330
RR MEDICARE
IN
Enumeration date
09/13/2011
Last updated
11/27/2023
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