AUDREY LISA WEAVER CRNP NPI 1093784514

NPI Information

NPI: 1093784514
Provider Name: AUDREY LISA WEAVER, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
605 S GEORGE ST
STE 200
YORK, PA
ZIP 17401
Phone: (717) 851-2334
Get Directions

Audrey Lisa Weaver, CRNP is a family nurse practitioner in York, PA with 23 years of experience. Audrey Lisa Weaver, CRNP NPI is 1093784514. 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:

605 S GEORGE ST
STE 200
YORK, PA
ZIP 17401-160
Phone: (717) 851-2334
Fax: (717) 851-3498

The NPI 1093784514 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 3/16/2006 and was last updated on 5/6/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	SP006990B	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	060157EZ3	MEDICARE PIN	PENNSYLVANIA
2	060157L4V	MEDICARE PIN	PENNSYLVANIA
3	50000329	OTHER	PENNSYLVANIA	CAPITAL BLUE CROSS
4	P64691	MEDICARE UPIN	PENNSYLVANIA
5	1550633	OTHER	PENNSYLVANIA	GATEWAY MEDICARE ASSURED
6	2688767	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD
7	500027775	OTHER	PENNSYLVANIA	RAILROAD MEDICARE
8	P64691	OTHER	PENNSYLVANIA	HEALTH ASSURANCE

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: 5/5/2024

NPI Synchronization or Removal

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