Miranda Louise-Kreiser Weaver, AGNP
Nurse Practitioner, Adult Health in Owosso, MI. Individual provider (NPI-1).
NPI number1801422845
StatusActive
Last updated in NPPESOct 10, 2023
Details
- NPI
- 1801422845
- Entity type
- Individual (NPI-1)
- Name
- Miranda Louise-Kreiser Weaver
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2020
- Certification date
- Oct 10, 2023
- Last updated
- Oct 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | AG01200149 | MI | Yes |
Other names
- Miranda L Kreiser (Former Name)
Practice location
818 W King St Ste 201Owosso, MI 48867-2117
Phone 989-723-3168 · Fax 989-725-2962
Mailing address
818 W King St Ste 201Owosso, MI 48867-2117
Phone 989-723-3168 · Fax 989-725-2962
Other practice locations
826 W King St
Owosso, MI 48867-2120
Owosso, MI 48867-2120
Phone 800-206-8706
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