Provider Demographics
NPI:1477222370
Name:WEAVER, GLAUBIA ALMEIDA (NP)
Entity Type:Individual
Prefix:
First Name:GLAUBIA
Middle Name:ALMEIDA
Last Name:WEAVER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 COPPER SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-3236
Mailing Address - Country:US
Mailing Address - Phone:347-418-7670
Mailing Address - Fax:
Practice Address - Street 1:53 COPPER SQUARE DR
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:CT
Practice Address - Zip Code:06801-3236
Practice Address - Country:US
Practice Address - Phone:347-418-7670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF403563363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health