Individual
COURTNEY MARIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1959 NE PACIFIC ST, BOX 356165, SEATTLE, WA 98195-6165
(206) 598-5637
(206) 598-2475
Mailing address
7651 W MORNING CT, BOISE, ID 83709-5650
(425) 319-3992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
62514
ID
363LF0000X
Family Nurse Practitioner
AD60233492
WA
Other
Enumeration date
09/19/2011
Last updated
10/02/2019
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