Healthcare Provider Details

I. General information

NPI: 1932967460
Provider Name (Legal Business Name): MEGAN ADEL WEAVER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 02/15/2026
Certification Date: 02/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 DATA PARK CIR
HOOVER AL
35244-2519
US

IV. Provider business mailing address

2100 DATA PARK CIR
HOOVER AL
35244-2519
US

V. Phone/Fax

Practice location:
  • Phone: 205-536-6007
  • Fax: 205-238-5703
Mailing address:
  • Phone: 205-536-6007
  • Fax: 205-238-5703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-184522
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-184522
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: