Provider Demographics
NPI:1720380553
Name:WEVER, BRITNEY RANEE (PA-C)
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:RANEE
Last Name:WEVER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 10TH ST
Mailing Address - Street 2:PO BOX 389
Mailing Address - City:GOTHENBURG
Mailing Address - State:NE
Mailing Address - Zip Code:69138-2063
Mailing Address - Country:US
Mailing Address - Phone:308-537-3673
Mailing Address - Fax:308-537-3675
Practice Address - Street 1:619 10TH ST
Practice Address - Street 2:
Practice Address - City:GOTHENBURG
Practice Address - State:NE
Practice Address - Zip Code:69138-2063
Practice Address - Country:US
Practice Address - Phone:308-537-3673
Practice Address - Fax:308-537-3675
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1552363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant