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Individual

ANDREW WILSON WEAVER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
7010 MARKET ST, WILMINGTON, NC 28411-9728
(910) 686-1099
(910) 686-9595
Mailing address
2222 S 17TH ST, WILMINGTON, NC 28401-7515
(910) 343-8209
(910) 343-6377

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201330
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0350072
ANCC CERTIFICATION NO.
NC
01
145149
NC RN LIC. NO.
NC
01
201330
NC MEDICAL LIC. NO.
NC
Enumeration date
06/13/2006
Last updated
03/07/2023
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