Basic Information
| Provider Information | |||||||||
| NPI: | 1023642063 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WEYER | ||||||||
| FirstName: | TIMMIE | ||||||||
| MiddleName: | EBRIA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DNP, APRN, FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31795 W 167TH TER | ||||||||
| Address2: | |||||||||
| City: | GARDNER | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660301530 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 9107 NW 45 HWY | ||||||||
| Address2: | |||||||||
| City: | PARKVILLE | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641523958 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8162515775 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2020 | ||||||||
| LastUpdateDate: | 07/16/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/16/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 2016024418 | MO | N | Nursing Service Providers | Registered Nurse | 163W00000X | 13-136461-022 | KS | N | Nursing Service Providers | Registered Nurse | 363LF0000X | 2021024639 | MO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.