Beverly P. Weaver in Southaven - Family

Beverly P. Weaver - NPI 1831140508

Beverly P. Weaver is a Family in Southaven, Mississippi. Beverly P. Weaver practices all healthcare services and medical treatments related to Family. The NPI Number for Beverly P. Weaver is 1831140508. The last update date is 2012-02-22.

Beverly P. Weaver's current location address is 3451 Goodman Rd E, Southaven, Mississippi. You can contact this provider via phone number 6628905555 and fax number 6628908899. The mailing address for Beverly P. Weaver is 3451 Goodman Rd E, Southaven, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Beverly P. Weaver
Address 3451 Goodman Rd E, Southaven, Mississippi
Phone Number 6628905555
Fax Number 6628908899
Sole Proprietor N
Credentials RN, MSN, F

NPI Number Detail

NPI Number 1831140508
Provider Enumeration Date 2006-05-15
Last Updated Date 2012-02-22

Provider Mailing Address Detail

Address 3451 Goodman Rd E
City Southaven
State Mississippi (MS)
Post Code 3867293030
Phone Number 6628905555
Fax Number 6628908899

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R629189
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
122952 MS --

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FAQs about Beverly P. Weaver

What is the unique 10-digit identification code assigned to Beverly P. Weaver by the Centers for Medicare & Medicaid Services?

The Beverly P. Weaver has been issued the NPI (National Provider Identifier) 1831140508, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Beverly P. Weaver's physical address?

The Beverly P. Weaver is physically located at 3451 Goodman Rd E, in the city of Southaven, MS, with the postal code 3867293030.

What is Beverly P. Weaver's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Beverly P. Weaver is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.

On what date did Beverly P. Weaver receive its 1831140508 assignment from the Centers for Medicare & Medicaid Services?

The Beverly P. Weaver was assigned its 1831140508 on 2006-05-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Beverly P. Weaver, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Beverly P. Weaver, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-02-22.

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