Individual
ANGELA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
233 S WACKER DR, CHICAGO, IL 60606-7147
(999) 999-9999
Mailing address
233 S WACKER DR, CHICAGO, IL 60606-7147
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704385416
MI
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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