Provider Demographics
NPI:1174039481
Name:WEAVER-HALL, RACHEL RANEY (APRN,FNP-BC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:RANEY
Last Name:WEAVER-HALL
Suffix:
Gender:F
Credentials:APRN,FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 PRIOR AVE
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31525-2326
Mailing Address - Country:US
Mailing Address - Phone:912-996-6081
Mailing Address - Fax:
Practice Address - Street 1:209 PRIOR AVE
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31525-2326
Practice Address - Country:US
Practice Address - Phone:912-996-6081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-21
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN119407363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily