Individual
ANA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
169 MARTIN AVE, EPHRATA, PA 17522-1724
(717) 738-6618
(717) 738-6646
Mailing address
601 MEMORY LANE, N/A, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN528859L
PA
367500000X
Certified Registered Nurse Anesthetist
078123
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN528859L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027807270001
—
PA
01
—
110293
GEISINGER
PA
01
—
11803024
CAQH
PA
01
—
1579963
GATEWAY
PA
01
—
1990968
FIRST PRIORITY
PA
01
—
2866253000
IBC
PA
01
—
50072665
CAPITAL ADVANTAGE
PA
01
—
9673462
AETNA
PA
Enumeration date
09/11/2007
Last updated
12/18/2024
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