Provider Demographics
NPI:1104344498
Name:WEEKS, TAMMY LYNN (APRN)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:LYNN
Last Name:WEEKS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 PREAKNESS DR
Mailing Address - Street 2:
Mailing Address - City:RAYMORE
Mailing Address - State:MO
Mailing Address - Zip Code:64083-8486
Mailing Address - Country:US
Mailing Address - Phone:816-305-8028
Mailing Address - Fax:
Practice Address - Street 1:7100 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1862
Practice Address - Country:US
Practice Address - Phone:913-599-2440
Practice Address - Fax:913-599-5252
Is Sole Proprietor?:No
Enumeration Date:2017-09-06
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-77819-032363LA2200X
MO2017025891363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health