person
Kelly Rae Weaver, CPNP-PC
Pediatric Nurse Practitioner in Shreveport, Louisiana
NPI 1881318756

Kelly Rae Weaver is a Pediatric Nurse Practitioner based in Benton, LA and is specialized in Pediatrics. Kelly Rae Weaver practices in Shreveport, LA and has the professional credentials of CPNP-PC. The NPI Number for Kelly Rae Weaver is 1881318756 and holds a License No. 226455 (Louisiana).

The current practice location address for Kelly Rae Weaver is 1 Saint Mary Pl, Shreveport, LA and can be reached out via phone at 318-272-3208.

Location: 1 Saint Mary Pl, Shreveport, LA, 71006-8805
person
Provider Profile Details
NPI Number
1881318756
Provider Name
Kelly Rae Weaver
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
1 Saint Mary Pl, Shreveport, LA, 71006-8805
Phone Number
318-272-3208
Fax Number
Provider Enumeration Date
10/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Saint Mary Pl
City
State
Zip
71101-4307
Phone Number
318-272-3208
Fax Number
person
Provider Business Mailing Address Details
Address
1 Saint Mary Pl
City
State
Zip
71101-4307
Phone Number
318-272-3208
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
226455 (Louisiana)
Definition
Definition to come...
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