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NPI 1407942188

IndividualActive

Anthony Weaver, CRNA

NPI 1407942188 · Certified Registered Nurse Anesthetist · Indianapolis, IN

Provider details

NPI number: 1407942188
Entity type: Individual
Primary specialty: Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
Credential: CRNA
Sex: Male
Sole proprietor: No
License: 4704213024 (MI)

Specialties & taxonomies

Certified Registered Nurse AnesthetistPrimary367500000XLicense 28207816A (IN)
Physician Assistants & Advanced Practice Nursing Providers
Certified Registered Nurse Anesthetist367500000XLicense 4704213024 (MI)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

7150 Clearvista Dr

Indianapolis, IN 46256-1695

Phone: (317) 621-5890

Fax: (317) 621-7884

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

7150 Clearvista Dr

Indianapolis, IN 46256-1695

Additional practice locations (1)

1000 E Main St
Danville, IN 46122-1948
Phone: (317) 745-3515
Fax: (317) 718-4072

Registry dates

Enumerated: 2006-10-04
Last updated: 2025-10-29
Certified: 2025-10-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Anthony Weaver, CRNA — NPI 1407942188, Indianapolis, IN | NPI Central