| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALEXIS L WEAVER | 1518618073 | 2022-02-17 |
Alexis L Weaver is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1518618073. Registration indicates Alexis L Weaver is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Alexis L Weaver PA-C |
| Practice Office Address | 1200 S CEDAR CREST BLVD ALLENTOWN, PA US |
| Practice Office Telephone | 6104028900 |
| Mailing Address | 1605 N CEDAR CREST BLVD STE 411 ALLENTOWN, PA 181042323 US |
| Business Telephone | 4843301377 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | MA063426
PA |
| MA063426 | OTHER | PA | STATE LICENSE |