Individual provider · Type 1 NPI

Ekaterina Sue Weaver, NP

Family Nurse Practitioner · Mishawaka, IN

NPI number 1861269110 Active

Practice location

60101 Bodnar Blvd Ste 100B
Mishawaka, IN 46544-9340

Fax (574) 335-0794

Mailing address

707 Cedar St Ste 405
South Bend, IN 46617-2059

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X28243181A (IN)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1861269110

Ekaterina Sue Weaver, NP's National Provider Identifier is 1861269110, issued on Dec 7, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mishawaka, IN. The record was last updated on Jan 26, 2024.