Individual
CHARLOTTE MARIE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
129 WALLS WAY, BEAR, DE 19701-1802
(302) 836-4441
Mailing address
129 WALLS WAY, BEAR, DE 19701-1802
(302) 836-4441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0025880
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001095238
—
DE
Enumeration date
01/10/2007
Last updated
07/09/2007
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