Individual
JENNIFER CATANAOAN SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 922-7645
Mailing address
500A SE 3RD TER, LEES SUMMIT, MO 64063-2862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
138186
MO
163W00000X
Registered Nurse
14-73960-062
KS
363LF0000X
Family Nurse Practitioner
Primary
138186
MO
363LF0000X
Family Nurse Practitioner
45598
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424785020
—
MO
Enumeration date
07/21/2005
Last updated
04/18/2011
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