Provider Demographics
NPI:1356225247
Name:WEILAGE, MICHELLE KARI
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:KARI
Last Name:WEILAGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:KARI
Other - Last Name:ELROD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:391 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-3169
Mailing Address - Country:US
Mailing Address - Phone:712-355-8785
Mailing Address - Fax:
Practice Address - Street 1:391 HARRISON ST
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-3169
Practice Address - Country:US
Practice Address - Phone:712-355-8785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist