NPI 1003627753

Tessa L Brock, RN

Practitioner Registered Nurse Bel Aire, KS

Practice location

Address: 5315 N Pebblecreek CT, Bel Aire, KS 67226-2284
Phone: (316) 882-2101

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 125685 (KS)

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Registry record

NPI: 1003627753
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jan 2025
Record last updated: 14 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.