Individual
BETH WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7 WATER ST, WELLSBORO LAUREL HEALTH CENTER, WELLSBORO, PA 16901-1126
(570) 724-1010
(570) 724-3970
Mailing address
22 WALNUT ST, LAUREL HEALTH CENTER ADMINISTRATION, WELLSBORO, PA 16901-1526
(570) 723-0500
(570) 724-1197
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
UP005205B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101844964
—
PA
Enumeration date
08/13/2006
Last updated
09/01/2015
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