Individual
MRS. MARIANNE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N. SCHOOL NURSE
Contact information
Practice address
191 VIOLET AVE, VIOLET AVENUE ELEMENTARY SCHOOL, POUGHKEEPSIE, NY 12601-1527
(845) 486-4499
(845) 486-7796
Mailing address
221-225 VIOLET AVENUE, VIOLET AVENUE ELEMENTARY SCHOOL, POUGHKEEPSIE, NY 12601
(485) 486-4499
(845) 486-7796
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
252383-1
NY
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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