IndividualActive
Berthina Weaver, PRACTICLE NURSE
NPI 1235668682 · Licensed Practical Nurse · Rex, GA
Provider details
- NPI number
- 1235668682
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- PRACTICLE NURSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- 064458 (GA)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
5820 Rex Ridge Loop
Rex, GA 30273
Phone: (404) 643-4050
Approximate (ZIP-level) locationGet directions
Mailing address
5820 Rex Ridge Loop
Rex, GA 30273-5240
Registry dates
- Enumerated
- 2017-06-08
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.