Healthcare Provider Details

I. General information

NPI: 1326481987
Provider Name (Legal Business Name): EMILY WEAVER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY SAVAGE

II. Dates (important events)

Enumeration Date: 04/14/2013
Last Update Date: 07/30/2022
Certification Date: 07/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-2200
  • Fax:
Mailing address:
  • Phone: 216-444-5725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.347547-1
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.17250-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: