Individual
CAROL S WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7120 CLEARVISTA DR, SUITE 4000, INDIANAPOLIS, IN 46256-1621
(317) 621-7444
(317) 621-3150
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71000109A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000655646
ANTHEM
IN
05
—
200963550
—
IN
Enumeration date
07/19/2006
Last updated
11/27/2023
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