Nicholas Weaver, PA
Physician Assistant, Medical in Amity, AR. Individual provider (NPI-1).
NPI number1487944286
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1487944286
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Weaver
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2011
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA433 | AR | Yes |
Practice location
329 N Hill StAmity, AR 71921-9635
Phone 870-342-5606 · Fax 870-334-2580
Mailing address
329 N Hill StAmity, AR 71921-9635
Phone 870-342-5606 · Fax 870-334-2580
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