Beth Weaver, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

UP005205B Issued in PA

Practice address

7 Water St
Wellsboro Laurel Health Center
Wellsboro, PA 16901-1126

Phone

(570) 724-1010

Fax

(570) 724-3970

NPI assigned

Aug 13, 2006

Last updated

Sep 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1740293877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WALNUT ST",
            "address_2": "LAUREL HEALTH CENTER ADMINISTRATION",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011526",
            "telephone_number": "570-723-0500",
            "fax_number": "570-724-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WATER ST",
            "address_2": "WELLSBORO LAUREL HEALTH CENTER",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011126",
            "telephone_number": "570-724-1010",
            "fax_number": "570-724-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "BETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "UP005205B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101844964",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Courtney Lynn Wattles, OTR/L
• Weis Markets Inc (Weis Pharmacy)
• Well Adjusted Chiropractic Center PC
• Clifford F Weller, D.O.
• Wellsboro Area School District
• Wellsboro Firemens Ambulance Association Inc

• Family Nurse Practitioner in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.