Person Information

Name:NAOMIWEAVER

Address Information

Address(city state zipcode):EPHRATA PA17522

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:Adult HealthNumber:VP002130C
Profession:NursingStatus:InactiveDate This Status:2/16/2000
Issue Date:6/30/1993Expires:10/31/1999Last Renewed:8/15/1997

Prerequisite Information

Licensee:WEAVER, NAOMIRelationship:Self Automatic
Type:Registered NurseNumber:RN132597LStatus:Inactive
Date of Association:Date of Expiration:

Comments


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