Individual
CODY ELI WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2317 HENBIRD LN, LANCASTER, PA 17601-2803
(717) 669-5502
Mailing address
2317 HENBIRD LN, LANCASTER, PA 17601-2803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP036338
PA
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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