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
Phone: (502) 423-9595
Fax: (502) 719-0161
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649770397 | NPPES |
| Indiana | MEDICAID | 300013135 | |
| Indiana | MEDICAID | 7100516470 |
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