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Mrs. Tara Lynne Weaver, CRNP
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1467083063

Tara Lynne Weaver is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Tara Lynne Weaver practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Tara Lynne Weaver is 1467083063 and holds a License No. SP021372 (Pennsylvania).

The current practice location address for Tara Lynne Weaver is 800 Walnut St Fl 18, Philadelphia, PA and can be reached out via phone at 215-316-5151.

Location: 800 Walnut St Fl 18, Philadelphia, PA, 19148-1919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467083063
Provider Name
Tara Lynne Weaver
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
800 Walnut St Fl 18, Philadelphia, PA, 19148-1919
Phone Number
215-316-5151
Fax Number
Provider Enumeration Date
02/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 Walnut St Fl 18
City
Philadelphia
State
Pennsylvania
Zip
19107-5176
Phone Number
215-316-5151
Fax Number
person
Provider Business Mailing Address Details
Address
800 Walnut St Fl 18
City
Philadelphia
State
Pennsylvania
Zip
19107-5176
Phone Number
215-316-5151
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP021372 (Pennsylvania)
Definition
Definition to come...
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