BIANCA GRACIELA WEAVER

LOUISVILLE, KY
NPI1649770397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: KY  3012061)
Additional Taxonomies176B00000X Midwife
(Licence: KY  3012061)
Enumeration Date2018-02-20
Last Update Date2020-10-29
Business Address
Mrs. BIANCA GRACIELA WEAVER CNM
9880 ANGIES WAY STE 350
LOUISVILLE, KY 40241-2852
Phone number: 502-423-9595
Mailing Address
Mrs. BIANCA GRACIELA WEAVER CNM
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-272-5754