person
Ekaterina Sue Weaver, NP
Family Nurse Practitioner in Mishawaka, Indiana
NPI 1861269110

Ekaterina Sue Weaver is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Ekaterina Sue Weaver practices in Mishawaka, IN and has the professional credentials of NP. The NPI Number for Ekaterina Sue Weaver is 1861269110 and holds a License No. 28243181A (Indiana).

The current practice location address for Ekaterina Sue Weaver is 60101 Bodnar Blvd Ste 100B, Mishawaka, IN and can be reached out via phone at 574-335-8500 and via fax at 574-335-0794.

Location: 60101 Bodnar Blvd Ste 100B, Mishawaka, IN, 46617-2059
person
Provider Profile Details
NPI Number
1861269110
Provider Name
Ekaterina Sue Weaver
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
60101 Bodnar Blvd Ste 100B, Mishawaka, IN, 46617-2059
Phone Number
574-335-8500
Fax Number
574-335-0794
Provider Enumeration Date
12/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
60101 Bodnar Blvd Ste 100B
City
State
Zip
46544-9340
Phone Number
574-335-8500
Fax Number
574-335-0794
person
Provider Business Mailing Address Details
Address
60101 Bodnar Blvd Ste 100B
City
State
Zip
46544-9340
Phone Number
574-335-8500
Fax Number
574-335-0794
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28243181A (Indiana)
Definition
Definition to come...
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