Individual
TUNDRA NICOLE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 691-1000
Mailing address
1750 BERTRAM LN SW, MARIETTA, GA 30008-4138
(678) 249-8121
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-2907
HI
Other
Enumeration date
03/18/2020
Last updated
03/19/2020
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