Provider Demographics
NPI:1528067774
Name:WEAVER, BARBARA H (RN)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:H
Last Name:WEAVER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT STEWART
Mailing Address - State:GA
Mailing Address - Zip Code:31314-5259
Mailing Address - Country:US
Mailing Address - Phone:912-435-1358
Mailing Address - Fax:
Practice Address - Street 1:1061 HARMON AVE
Practice Address - Street 2:STE. 2J11B
Practice Address - City:FORT STEWART
Practice Address - State:GA
Practice Address - Zip Code:31314-5601
Practice Address - Country:US
Practice Address - Phone:912-435-5101
Practice Address - Fax:912-435-5009
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN045469163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management