is a Nurse Practitioner in Overland Park, Kansas. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for is 1972614824. The last update date is .
's current location address is 6730 W 121st St, Overland Park, Kansas. You can contact this provider via phone number 9133871120 and fax number 9136316222. The mailing address for is 6730 W 121st St, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 6730 W 121st St, Overland Park, Kansas |
| Phone Number | 9133871120 |
| Fax Number | 9136316222 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1972614824 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 6730 W 121st St |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662092002 |
| Phone Number | 9133871120 |
| Fax Number | 9136316222 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 45947 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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