Individual
BRYAN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Mailing address
209 GREYSTONE DR, SHAVERTOWN, PA 18708-9764
(570) 905-5594
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
176915
CT
367500000X
Certified Registered Nurse Anesthetist
136407
CT
367500000X
Certified Registered Nurse Anesthetist
APRN04517
RI
367500000X
Certified Registered Nurse Anesthetist
Primary
RN10005388
MA
Other
Enumeration date
04/17/2021
Last updated
11/17/2025
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