Weaver, Amy

Weaver, Amy is an individual health care provider with primary practice located at 7988 W Jefferson Blvd , Fort Wayne IN 46804-4140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Weaver, Amy can be contacted via phone (260) 432-4400.

Contact Information

Primary practice address
7988 W Jefferson Blvd Fort Wayne IN 46804-4140
Phone: (260) 432-4400
Fax: (260) 969-6898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001422A Indiana

Profile Details

NPI number 1619967031
LBN Legal business name Weaver, Amy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Dec 21st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619967031 NPPES
Indiana MEDICAID 200338310

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