Provider Demographics
NPI:1134843907
Name:WEAVER, ROBYN LYN (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:LYN
Last Name:WEAVER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5687 N PLYMOUTH CT
Mailing Address - Street 2:
Mailing Address - City:MCCORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46055-9469
Mailing Address - Country:US
Mailing Address - Phone:317-517-1045
Mailing Address - Fax:
Practice Address - Street 1:201 W MAIN CROSS ST
Practice Address - Street 2:
Practice Address - City:EDINBURGH
Practice Address - State:IN
Practice Address - Zip Code:46124-1346
Practice Address - Country:US
Practice Address - Phone:812-526-0261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28221098A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily