Weaver, Melody Ann
Weaver, Melody Ann is an sole proprietor health care provider with primary practice located at 921 S 8Th Ave Stop 8101 , Pocatello ID 83209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Weaver, Melody Ann can be contacted via phone (208) 282-5994.Contact Information
Primary practice address
921 S 8Th Ave Stop 8101
Pocatello ID 83209
Phone: (208) 282-5994
Fax: (208) 282-4476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP10764 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 55023 | Idaho |
Profile Details
| NPI number | 1922204551 |
|---|---|
| LBN Legal business name | Weaver, Melody Ann |
| Credentials | PHD FNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2007 |
| Last updated | Jun 19th, 2018 - about 7 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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