Individual provider · Type 1 NPI

Tara Lynne Weaver, CRNP

Family Nurse Practitioner · Philadelphia, PA

NPI number 1467083063 Active

Practice location

800 Walnut St Fl 18
Philadelphia, PA 19107-5176

Call (215) 316-5151 Map

Mailing address

226 Mcclellan St
Philadelphia, PA 19148-1919

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP021372 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1467083063

Tara Lynne Weaver, CRNP's National Provider Identifier is 1467083063, issued on Feb 1, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 1, 2020.