Individual provider · Type 1 NPI

Berthina Gaynell Weaver, PRACTICLE NURSE

Licensed Practical Nurse · Rex, GA

NPI number 1235668682 Active

Practice location

5820 Rex Ridge Loop
Rex, GA 30273

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X064458 (GA)
Licensed Practical Nurse Primary 164W00000XLPN064458 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1235668682

Berthina Gaynell Weaver, PRACTICLE NURSE's National Provider Identifier is 1235668682, issued on Jun 8, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rex, GA. The record was last updated on Jul 21, 2022.