Individual
HEATHER LEANN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
112 OLD COLLINS TPKE, DEER LODGE, TN 37726-4146
(423) 319-7308
Mailing address
112 OLD COLLINS TPKE, DEER LODGE, TN 37726-4146
(423) 319-7308
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
0000182606
TN
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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