Individual
MARIE ANN B TABOADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5844 NW BARRY RD STE 230, KANSAS CITY, MO 64154-1421
(816) 931-1883
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 931-1883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020010568
MO
363LF0000X
Family Nurse Practitioner
5382433
KS
Other
Enumeration date
05/14/2021
Last updated
11/29/2023
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