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Nicholas Weaver, PA
Medical Physician Assistant in Amity, Arkansas
NPI 1487944286

Nicholas Weaver is a Medical Physician Assistant based in Amity, AR and is specialized in Medical. Nicholas Weaver practices in Amity, AR and has the professional credentials of PA. The NPI Number for Nicholas Weaver is 1487944286 and holds a License No. PA433 (Arkansas).

The current practice location address for Nicholas Weaver is 329 N Hill St, Amity, AR and can be reached out via phone at 870-342-5606 and via fax at 870-334-2580.

Location: 329 N Hill St, Amity, AR, 71921-9635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487944286
Provider Name
Nicholas Weaver
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
329 N Hill St, Amity, AR, 71921-9635
Phone Number
870-342-5606
Fax Number
870-334-2580
Provider Enumeration Date
04/13/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA433 01 AR LICENSES NUMBER
institution
Provider Business Practice Location Address Details
Address
329 N Hill St
City
Amity
State
Arkansas
Zip
71921-9635
Phone Number
870-342-5606
Fax Number
870-334-2580
person
Provider Business Mailing Address Details
Address
329 N Hill St
City
Amity
State
Arkansas
Zip
71921-9635
Phone Number
870-342-5606
Fax Number
870-334-2580
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA433 (Arkansas)
Definition
Definition to come...
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