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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. BERTHINA GAYNELL WEAVER, PRACTICLE NURSE

Active Sole Proprietor

MRS. BERTHINA GAYNELL WEAVER, PRACTICLE NURSE is a Licensed Practical Nurse healthcare provider located in REX, Georgia. NPI 1235668682 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · REX, GA

Registration Details

NPI Number
1235668682
Provider Type
Individual
Gender
Female
NPI Issued
Jun 8, 2017 (9.1902883126581 yrs)
Last Updated
Jul 21, 2022
Licenses
064458 (GA)
LPN064458 (GA)
Sole Proprietor
Yes

Practice Information

Address
5820 REX RIDGE LOOP
REX, GA, 30273
Browse GA providers · Browse ZIP 30273
Phone
4046434050
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Licensed Practical Nurse

Other Licensed Practical Nurse Providers in REX, GA

Name Credential NPI
SALLIE JOHNSON RN 1598103319
MICHELE SHEPHERD TIGNER LPN 1851989321
MYRANDA GRACE 1528924214
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.