Individual
MRS. JUDITH A. WEAVER-YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
420 W 4TH ST, MISHAWAKA, IN 46544-1948
(574) 307-7376
(574) 307-7692
Mailing address
420 W 4TH ST, MISHAWAKA, IN 46544-1948
(574) 307-7673
(574) 307-7692
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000048A
IN
367A00000X
Advanced Practice Midwife
72000131A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000578499
BCBS
IN
05
—
200081900
—
IN
Enumeration date
06/12/2006
Last updated
02/01/2019
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