person
Kelly Weaver, CPNP-PC
Pediatric Nurse Practitioner in Washington, District of Columbia
NPI 1437764214

Kelly Weaver is a Pediatric Nurse Practitioner based in Washington, DC and is specialized in Pediatrics. Kelly Weaver practices in Washington, DC and has the professional credentials of CPNP-PC. The NPI Number for Kelly Weaver is 1437764214 and holds a License No. R245041 (District of Columbia).

The current practice location address for Kelly Weaver is 3800 Reservoir Rd Nw, Washington, DC and can be reached out via phone at 202-444-3700.

Location: 3800 Reservoir Rd Nw, Washington, DC, 20007-2113
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Provider Profile Details
NPI Number
1437764214
Provider Name
Kelly Weaver
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
3800 Reservoir Rd Nw, Washington, DC, 20007-2113
Phone Number
202-444-3700
Fax Number
Provider Enumeration Date
09/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R245041 01 MD MARYLAND BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
3800 Reservoir Rd Nw
City
State
Zip
20007-2113
Phone Number
202-444-3700
Fax Number
person
Provider Business Mailing Address Details
Address
3800 Reservoir Rd Nw
City
State
Zip
20007-2113
Phone Number
202-444-3700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R245041 (Maryland)
Definition
Definition to come...
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