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Miranda Louise-kreiser Weaver, AGNP
Adult Health Nurse Practitioner in Owosso, Michigan
NPI 1801422845

Miranda Louise-kreiser Weaver is an Adult Health Nurse Practitioner based in Owosso, MI and is specialized in Adult Health. Miranda Louise-kreiser Weaver practices in Owosso, MI and has the professional credentials of AGNP. The NPI Number for Miranda Louise-kreiser Weaver is 1801422845 and holds a License No. AG01200149 (Michigan).

The current practice location address for Miranda Louise-kreiser Weaver is 818 W King St Ste 201, Owosso, MI and can be reached out via phone at 989-723-3168 and via fax at 989-725-2962.

Location: 818 W King St Ste 201, Owosso, MI, 48867-2117
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Provider Profile Details
NPI Number
1801422845
Provider Name
Miranda Louise-kreiser Weaver
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
818 W King St Ste 201, Owosso, MI, 48867-2117
Phone Number
989-723-3168
Fax Number
989-725-2962
Provider Enumeration Date
03/22/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1801422845 05 MI
institution
Provider Business Practice Location Address Details
Address
818 W King St Ste 201
City
State
Zip
48867-2117
Phone Number
989-723-3168
Fax Number
989-725-2962
person
Provider Business Mailing Address Details
Address
818 W King St Ste 201
City
State
Zip
48867-2117
Phone Number
989-723-3168
Fax Number
989-725-2962
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
AG01200149 (Michigan)
Definition
Definition to come...
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