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NPI Code Detail

MEDICARE: MEAGAN WEAVER CNP

MEDICARE: MEAGAN WEAVER CNP
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
1363LF0000XFamily Nurse PractitionerCNP.020555OH

General Provider Information

NPI Number : 1457632408
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGAN WEAVER CNP
Provider Business Mailing Address
First Line : 5156 E MAIN ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-2424
Country : US
Telephone Number : 614-702-7655
Fax Number : 614-706-1770
Provider Business Practice Location Address
First Line : 5156 E MAIN ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-2424
Country : US
Telephone Number : 614-702-7655
Fax Number : 614-706-1770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2011
Last Update Date : 02/13/2023

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