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MIRANDA LOUISE-KREISER WEAVER AGNP NPI 1801422845


NPI Information

NPI: 1801422845
Provider Name: MIRANDA LOUISE-KREISER WEAVER, AGNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: MEMORIAL HOSPITAL

PECOS Registration: Yes

Address:
826 W KING ST
OWOSSO, MI
ZIP 48867
Phone: (800) 206-8706
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Miranda Louise-kreiser Weaver, AGNP is an adult health nurse practitioner in Owosso, MI with 5 years of experience. Miranda Louise-kreiser Weaver, AGNP NPI is 1801422845. 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:

826 W KING ST
OWOSSO, MI
ZIP 48867-120
Phone: (800) 206-8706

The NPI 1801422845 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 3/22/2020 and was last updated on 3/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthAG01200149MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.