Kristine D Mall in Lees Summit - Nurse Practitioner
Kristine D Mall - NPI 1659453546
Kristine D Mall is a Nurse Practitioner in Lees Summit, Missouri. Kristine D Mall practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kristine D Mall is 1659453546. The last update date is 2022-02-11.
Kristine D Mall's current location address is 2409 Sw Current Ln, Lees Summit, Missouri. You can contact this provider via phone number 8165245432. The mailing address for Kristine D Mall is 2409 Sw Current Ln, Lees Summit, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine D Mall |
|---|---|
| Address | 2409 Sw Current Ln, Lees Summit, Missouri |
| Phone Number | 8165245432 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN BC ANP |
NPI Number Detail
| NPI Number | 1659453546 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
| Address | 2409 Sw Current Ln |
|---|---|
| City | Lees Summit |
| State | Missouri (MO) |
| Post Code | 640824099 |
| Phone Number | 8165245432 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 127507 |
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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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What is the unique identifier code issued to Kristine D Mall by the Centers for Medicare & Medicaid Services?
The Kristine D Mall has been assigned the NPI (National Provider Identifier) 1659453546. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kristine D Mall's facilities are geographically located?
The facilities of Kristine D Mall are physically situated at the following location: 2409 Sw Current Ln, Lees Summit, MO, 640824099.
What is the Kristine D Mall's area of specialization and corresponding taxonomy classification?
The Kristine D Mall's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Kristine D Mall receive the assignment of its 1659453546 from the Centers for Medicare & Medicaid Services?
The Kristine D Mall was issued its 1659453546 by the Centers for Medicare & Medicaid Services on 2006-10-19.
As of what date were the details pertaining to Kristine D Mall last refreshed?
The information related to the Kristine D Mall, including its address, specialty, and other relevant details, was last updated on 2022-02-11.