Provider Demographics
NPI:1538494851
Name:CARDENAS WEAVER, HEIDI M
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:M
Last Name:CARDENAS WEAVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 GLENVIEW ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-4419
Mailing Address - Country:US
Mailing Address - Phone:215-680-0443
Mailing Address - Fax:
Practice Address - Street 1:818 GLENVIEW ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-4419
Practice Address - Country:US
Practice Address - Phone:215-680-0443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-04
Last Update Date:2009-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula