| Doctor Name: | DIETTA WEAVER |
| NPI Number: | 1144465444 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | UP004264G |
| Business Practice Address: | 99 N West End Blvd Suite 104 Quakertown, PA - 189511180 |
| Business Phone Number: | 2155363200 |
| Business Fax Number: | 2155363259 |
| Mailing Address: | Po Box 1111, HARLEYSVILLE |
| State: | PA |
| Postal Code: | 194380907 |
| Phone Number: | 2154534995 |
| Fax Number: | 2154534646 |
| NPI Enumeration Date: | 12/16/2008 |
| NPI Last Update Date: | 01/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | UP004264G |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |