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MANDY WEAVER DO
NPI 1447102264
Student in an Organized Health Care Education/Training Program in O Fallon, IL

Active since February 12, 2026
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269(618) 256-9355(618) 206-2332 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mandy Weaver Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANDY WEAVER DO (NPI 1447102264) is an individual student in an organized health care education/training program in O Fallon, Illinois and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1447102264
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMANDY WEAVERCredential: DO
Location Address3 SAINT ELIZABETH BLVD STE 4000O Fallon, IL 62269-1284
Mailing Address3 Saint Elizabeth Blvd Ste 4000O Fallon, IL 62269-1284 · (618) 256-9355 · Fax (618) 206-2332
Phone(618) 256-9355
Fax(618) 206-2332
Sole ProprietorNo
Enumeration DateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1447102264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL 62269
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MECHELLE E ELOSIEBO M.D.
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
BENJAMIN ANTHONY NICOTERA MD
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
DR. NOAH M COOPERSTEIN MD
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 256-7311
DR. VINAY KUMAR BHOOMA M.D.
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
DR. MARJORIE H. GUTHRIE M.D.
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
DR. ANNE NICOLE NASH M.D.
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
MARLA NELSON
Counselor (Professional)
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
DR. LAUREN LAMB MD
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480

Frequently Asked Questions

What is Mandy Weaver's NPI number?

The NPI number assigned to this healthcare provider is 1447102264, enumerated as an "individual" on February 12, 2026.

Where is the provider located?

The provider is located at 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 and the phone number is (618) 256-9355.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.