Brandon Lloyd Weaver

Peer Specialist · Pryor, OK

Individual Active NPI

NPI number 1568051167

Practice location

109 N Fairland St
Pryor, OK 74361-4205
Phone
(918) 825-1405

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NPI record

NPI
1568051167
Entity type
Individual (Type 1)
Enumeration date
January 18, 2021
Last updated
January 18, 2021
Certified
January 18, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

Mailing address

PO Box 1554
Jay, OK 74346-1554

About Brandon Weaver

Brandon Lloyd Weaver is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 109 N Fairland St, Pryor, OK 74361-4205. The NPI number 1568051167 was assigned on January 18, 2021 and the record was last updated on January 18, 2021.

Frequently asked questions

What is the NPI number of Brandon Lloyd Weaver?

The NPI number is 1568051167.

What is the phone number of Brandon Weaver?

The phone number listed for the practice location is (918) 825-1405.

Where is Brandon Weaver located?

109 N Fairland St, Pryor, OK 74361-4205.

What is the taxonomy code for Brandon Weaver?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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