METTA KATHERINE LEE WEAVER

BOISE, ID
NPI1306397088
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: ID  54221)
Additional Taxonomies163W00000X Registered Nurse
(Licence: ID  54221)
163W00000X Registered Nurse
(Licence: OR  10009959)
367A00000X Advanced Practice Midwife
(Licence: NM  852)
367A00000X Advanced Practice Midwife
(Licence: MO  2023027340)
367A00000X Advanced Practice Midwife
(Licence: UT  13419449-4402)
Enumeration Date2016-10-18
Last Update Date2023-08-25
Business Address
METTA KATHERINE LEE WEAVER APRN, CNM
412 E 41ST ST STE 2
BOISE, ID 83714-6348
Phone number: 208-742-4784
Mailing Address
METTA KATHERINE LEE WEAVER APRN, CNM
412 E 41ST ST STE 2
BOISE, ID 83714-6348
Phone number: 208-742-4784