Kelly Rae Weaver, CPNP-PC
Kelly Rae Weaver, CPNP-PC is a Pediatric Nurse Practitioner in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2022.
- Licensed in
- LA
- In the registry since
- 2022
Practice location Address checks out
1 Saint Mary PlShreveport, LA 71101-4307
Phone: (318) 272-3208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence 226455 (LA) |
|---|
Record details
| NPI number | 1881318756 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CPNP-PC |
| Sole proprietor | No |
| NPI enumerated | October 3, 2022 |
| Last updated in NPPES | October 4, 2022 |
| Certification date | October 4, 2022 |
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