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

Laure Renae Weaver, NP

Individual provider Family Nurse Practitioner · NPI 1508206665

Laure Renae Weaver, NP is a Nurse Practitioner in Vestal, New York. Qualified in 2013, 13 years ago. Practices with Our Lady of Lourdes Memorial Hospital Inc, a 249-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4417 Vestal Pkwy E Uhs Cardiology
Vestal, NY 13850-3556
Phone: (607) 729-8833
Fax: (607) 729-5899
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 338059 (NY)

Record details

NPI number1508206665
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 3, 2013
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021
Mailing address346 Grand Ave, Johnson City, NY 13790-2580

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Our Lady Of Lourdes Memorial Hospital Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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