Individual
MANDY ALLISON WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
3404 WAKE FOREST RD STE 201, RALEIGH, NC 27609-7341
(919) 256-1511
Mailing address
3404 WAKE FOREST RD STE 201, RALEIGH, NC 27609-7341
(919) 256-1511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5009699
NC
Other
Enumeration date
07/23/2017
Last updated
07/23/2017
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