Individual provider · Type 1 NPI

Lisa M. Weaver

Registered Nurse · Portage, IN

NPI number 1679644074 Active

Practice location

6450 US Highway 6
Portage, IN 46368-5110

Fax (219) 764-6348

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X28157609A (IN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1679644074

Lisa M. Weaver's National Provider Identifier is 1679644074, issued on Nov 10, 2006. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Portage, IN. The record was last updated on Jul 8, 2007.