Weaver, Patti Suzanne

Weaver, Patti Suzanne is an individual health care provider with primary practice located at 1800 12Th St , Meridian MS 39301-4158. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Weaver, Patti Suzanne can be contacted via phone (601) 703-4065.

Contact Information

Primary practice address
1800 12Th St Meridian MS 39301-4158
Phone: (601) 703-4065
Fax: (601) 703-3050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R731838 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R731838 Mississippi

Profile Details

NPI number 1013999838
LBN Legal business name Weaver, Patti Suzanne
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Nov 8th, 2013 - about 11 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 1013999838 NPPES
Other 500024670 RAILROAD MEDICARE
MEDICAID 00124944 RAILROAD MEDICARE
MEDICAID 891003790 RAILROAD MEDICARE

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