National Provider Identifier

Jaqueline Weaver

Jaqueline Weaver is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 713-6442.

NPI 1417368762Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1417368762
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 08, 2014
Last Updated
May 08, 2014

Practice Location

  • 93 Sheffield Ave
  • Buffalo, NY 14220-1916

Phone: (716) 713-6442

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1417368762
Entity Type
Individual
Last Name
Weaver
First Name
Jaqueline
Mailing Street Address
93 Sheffield Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14220-1916
Mailing Country
US
Mailing Phone
(716) 713-6442
Practice Street Address
93 Sheffield Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14220-1916
Practice Country
US
Practice Phone
(716) 713-6442
Enumeration Date
May 08, 2014
Last Updated
May 08, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)