Individual
MRS. SARAH GRACE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
230 HOSPITAL PLZ, WESTON, WV 26452
(304) 269-8000
Mailing address
5104 KINCHELOE RD, JANE LEW, WV 26378
(304) 476-5388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN88904
WV
Other
Enumeration date
05/17/2017
Last updated
12/31/2020
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