MEDICARE: BRANDI NICOLE WEAVER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	45212	KS
2	363LW0102X	Women's Health Nurse Practitioner	142855	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770889701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDI NICOLE WEAVER NP

Provider Business Mailing Address
First Line	:	901 HEARTLAND RD STE 2800
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-6201
Country	:	US
Telephone Number	:	816-271-1200
Fax Number	:	816-271-1220

Provider Business Practice Location Address
First Line	:	901 HEARTLAND RD STE 2800
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-6201
Country	:	US
Telephone Number	:	816-271-1200
Fax Number	:	816-271-1220

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2011
Last Update Date	:	12/16/2025

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Directions to “ BRANDI NICOLE WEAVER NP” Practice Location

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