| NPI | 1104114602 |
|---|---|
| Former Name | LAUREN MICHELLE WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024171182) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001186613) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: DC RN1003656) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024171182) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1003656) | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2021-09-02 |