Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holly Weaver

Individual provider Family Nurse Practitioner · NPI 1780449728

Holly Weaver is a Nurse Practitioner in Dayton, Ohio. Qualified in 2016, 10 years ago. Practices with Southwest Ohio ENT Specialists Inc, a 41-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2024

Practice location Address checks out

1222 S Patterson Blvd Ste 400
Dayton, OH 45402-2642
Phone: (937) 496-2600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0035776 (OH)

Record details

NPI number1780449728
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 19, 2024
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address3033 Swigert Rd, Dayton, OH 45440-2107

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southwest Ohio Ent Specialists Inc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dayton