Individual
TAMMY DARLENE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
191 S 400 W, MARION, IN 46953-9430
(765) 661-3378
Mailing address
191 S 400 W, MARION, IN 46953-9430
(765) 661-3378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28105199A
IN
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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