Individual
WENDY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 N WOLFE ST, ANESTHESIA DEPARTMENT, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R107116
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371800000
—
MD
Enumeration date
07/07/2005
Last updated
08/12/2013
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