NICOLLE MARIE WEAVER NP-C NPI 1053984500

NPI Information

Nicolle Marie Weaver, NP-C is a family nurse practitioner in Dakota Dunes, SD with 3 years of experience. Nicolle Marie Weaver, NP-C NPI is 1053984500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

575 N SIOUX POINT RD
DAKOTA DUNES, SD
ZIP 57049-312
Phone: (605) 217-2667
Fax: (605) 217-2900

The NPI 1053984500 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2021 and was last updated on 7/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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