Individual
PRISCILLA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 E PARK AVE STE 201, STATE COLLEGE, PA 16803-6706
(814) 689-3140
(814) 234-0491
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6797
(814) 231-7000
(814) 231-7098
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP024163
PA
363LA2100X
Acute Care Nurse Practitioner
SP024163
PA
Other
Enumeration date
08/12/2021
Last updated
05/12/2025
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