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NPI Code Detail

MEDICARE: MRS. MARTHA DUNAWAY WEAVER C.N.M., R.N.

MEDICARE:  MRS. MARTHA DUNAWAY WEAVER  C.N.M., R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife0024095985VA
2367A00000XAdvanced Practice MidwifeR088638MD

General Provider Information

NPI Number : 1265797492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARTHA DUNAWAY WEAVER C.N.M., R.N.
Provider Business Mailing Address
First Line : 8415 CLAY DR
Second Line :
City : FT WASHINGTON
State : MD
Zip : 20744-5518
Country : US
Telephone Number : 301-839-2149
Fax Number : 301-839-2149
Provider Business Practice Location Address
First Line : 1501 KING ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-2716
Country : US
Telephone Number : 703-549-5070
Fax Number : 703-549-4821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2012
Last Update Date : 07/13/2012

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Directions to “ MRS. MARTHA DUNAWAY WEAVER C.N.M., R.N.” Practice Location

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