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

KELLY RAE WEAVER, CPNP-PC

Active

KELLY RAE WEAVER, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in SHREVEPORT, Louisiana. NPI 1881318756 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · SHREVEPORT, LA

Registration Details

NPI Number
1881318756
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2022 (3.8212101448963 yrs)
Last Updated
Oct 4, 2022
License
226455 (LA)

Practice Information

Address
1 SAINT MARY PL
SHREVEPORT, LA, 711014307
Browse LA providers · Browse ZIP 71101
Phone
3182723208
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X

Other Pediatric Nurse Practitioner Providers in SHREVEPORT, LA

Name Credential NPI
MARGARET S RAISH N.P. 1568489342
TONI R PAGE APRN 1275550055
CHERYL ANN FERNANDEZ N.P. 1174544993
KATHLEEN C JULIAN N.P. 1316968134
KIMBERLY DONELSON CPNP 1750537767
CHRISTINE F ZURN ANP 1821249848
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.