Individual
SAMANTHA GWEN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(980) 487-3000
Mailing address
214 JONES RD, SHELBY, NC 28150-7036
(704) 813-0155
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
231559
NC
Other
Enumeration date
01/13/2016
Last updated
09/16/2024
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