Weaver, Debra Sue

Weaver, Debra Sue is an individual health care provider with primary practice located at 10211 Alm St Ste 212 , Raleigh NC 27617. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Weaver, Debra Sue can be contacted via phone (919) 668-4000.

Contact Information

Primary practice address
10211 Alm St Ste 212 Raleigh NC 27617
Phone: (919) 668-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 300353 North Carolina

Profile Details

NPI number 1457577355
LBN Legal business name Weaver, Debra Sue
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Jun 23rd, 2023 - about last year

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 1457577355 NPPES
South Carolina MEDICAID NP1913

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