Kersten L. Weigle, NP
Nurse Practitioner in Columbia City, IN. Individual provider (NPI-1).
NPI number1982180501
StatusActive
Last updated in NPPESSep 30, 2021
Details
- NPI
- 1982180501
- Entity type
- Individual (NPI-1)
- Name
- Kersten L. Weigle
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2018
- Certification date
- Sep 30, 2021
- Last updated
- Sep 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71008165A | IN | Yes |
Practice location
107 N Walnut StColumbia City, IN 46725-2066
Phone 260-248-9958 · Fax 260-458-6003
Mailing address
11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
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