Weaver, Bianca Graciela

Weaver, Bianca Graciela is an sole proprietor health care provider with primary practice located at 9880 Angies Way Ste 350 , Louisville KY 40241-2852. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Weaver, Bianca Graciela can be contacted via phone (502) 423-9595.

Contact Information

Primary practice address
9880 Angies Way Ste 350 Louisville KY 40241-2852
Fax: (502) 719-0161
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 3012061 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 3012061 Kentucky

Profile Details

NPI number 1649770397
LBN Legal business name Weaver, Bianca Graciela
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2018
Last updated Oct 29th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649770397 NPPES
Indiana MEDICAID 300013135
Indiana MEDICAID 7100516470

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