Provider Demographics
NPI:1972729333
Name:WEAVER, PAMELA L (MSN APRN BC)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:L
Last Name:WEAVER
Suffix:
Gender:F
Credentials:MSN APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4127 BROWNSVILLE RD
Mailing Address - Street 2:LESE BLDG SUITE 207
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-3348
Mailing Address - Country:US
Mailing Address - Phone:412-881-8131
Mailing Address - Fax:412-381-8233
Practice Address - Street 1:4127 BROWNSVILLE RD
Practice Address - Street 2:LESE BLDG SUITE 207
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-3348
Practice Address - Country:US
Practice Address - Phone:412-881-8131
Practice Address - Fax:412-381-8233
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN238982L364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult