Individual
AMANDA MICHELLE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3389 BERKLEY HILLS DR E, SOUTHSIDE, AL 35907-8026
(256) 490-9900
Mailing address
3389 BERKLEY HILLS DR E, SOUTHSIDE, AL 35907-8026
(256) 490-9900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07202348
AL
Other
Enumeration date
02/13/2021
Last updated
02/13/2021
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