| Doctor Name: | TESSA WEIGEL |
| NPI Number: | 1073995353 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 5376775101 |
| Business Practice Address: | 2790 Clay Edwards Dr Suite 410 North Kansas City, MO - 641163276 |
| Business Phone Number: | 8164749353 |
| Business Fax Number: | 8164743627 |
| Mailing Address: | 2790 Clay Edwards Dr, Suite 410 NORTH KANSAS CITY |
| State: | MO |
| Postal Code: | 641163276 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/23/2015 |
| NPI Last Update Date: | 06/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 5376775101 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |