Individual
JOAN E WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(717) 657-7332
(717) 920-4394
Mailing address
119 WASHINGTON ST, HARRISBURG, PA 17104-1676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TP006084B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50029521
CAPITAL BLUE CROSS
PA
01
—
S91156
HEALTH ASSURANCE
PA
Enumeration date
10/26/2005
Last updated
01/16/2013
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