Individual
CECILIA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
832 JULIA ST, RAYVILLE, LA 71269-2608
(318) 728-8833
(318) 728-8940
Mailing address
832 JULIA ST, RAYVILLE, LA 71269-2608
(318) 728-4787
(318) 728-2598
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05874
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802565
—
LA
Enumeration date
08/25/2009
Last updated
04/16/2024
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