Individual
NICOLE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
429 MANOR DR STE 10, EBENSBURG, PA 15931-4917
(814) 472-6060
Mailing address
429 MANOR DR STE 10, EBENSBURG, PA 15931-4917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN697483
PA
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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