Michael Weaver, FNP
Nurse Practitioner, Family in Chillicothe, OH. Individual provider (NPI-1).
NPI number1760666366
StatusActive
Last updated in NPPESDec 29, 2020
Details
- NPI
- 1760666366
- Entity type
- Individual (NPI-1)
- Name
- Michael Weaver
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2007
- Certification date
- Dec 29, 2020
- Last updated
- Dec 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | NP09749 | OH | Yes |
Practice location
4439 State Route 159 Ste 210Chillicothe, OH 45601-8207
Phone 740-779-8530
Mailing address
460 W 10th AveColumbus, OH 43210
Phone 614-293-7377 · Fax 614-293-3316
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