TARA LYNNE WEAVER

PHILADELPHIA, PA
NPI1467083063
Former NameTARA LYNNE MARTIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP021372)
Enumeration Date2020-02-01
Last Update Date2020-02-01
Business Address
Mrs. TARA LYNNE WEAVER CRNP
800 WALNUT ST FL 18
PHILADELPHIA, PA 19107-5176
Phone number: 215-316-5151
Mailing Address
Mrs. TARA LYNNE WEAVER CRNP
226 MCCLELLAN ST
PHILADELPHIA, PA 19148-1919
Phone number: 215-593-0205
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