Individual provider · Type 1 NPI
Melody Ann Weaver, PHD FNP
Family Nurse Practitioner · Pocatello, ID
NPI number
1922204551
Active
Practice location
921 S 8th Ave Stop 8101
Pocatello, ID 83209
Fax (208) 282-4476
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP10764 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 55023 (ID) |
Family Nurse Practitioner: Definition to come...
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About NPI 1922204551
Melody Ann Weaver, PHD FNP's National Provider Identifier is 1922204551, issued on Jun 21, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pocatello, ID. The record was last updated on Jun 19, 2018.