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NPI Code Detail

MEDICARE: AMANDA SHEPHERD WEAVER AGNP-C

MEDICARE: AMANDA SHEPHERD WEAVER AGNP-C
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
1363L00000XNurse Practitioner5019854NC

General Provider Information

NPI Number : 1417708231
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA SHEPHERD WEAVER AGNP-C
Provider Business Mailing Address
First Line : 1100 TUNNEL RD
Second Line :
City : ASHEVILLE
State : NC
Zip : 28805-2576
Country : US
Telephone Number : 828-298-7911
Fax Number :
Provider Business Practice Location Address
First Line : 1100 TUNNEL RD
Second Line :
City : ASHEVILLE
State : NC
Zip : 28805-2576
Country : US
Telephone Number : 828-298-7911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2024
Last Update Date : 03/12/2026

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Directions to “ AMANDA SHEPHERD WEAVER AGNP-C” Practice Location

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