Individual
ANNA LAUREL SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5675 ROE BLVD STE 100, ROELAND PARK, KS 66205-2538
(913) 432-2080
(913) 432-5183
Mailing address
5675 ROE BLVD STE 100, ROELAND PARK, KS 66205-2538
(913) 432-2080
(913) 432-5183
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
53-75214-101
KS
363L00000X
Nurse Practitioner
Primary
53-75214-101
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01050323
RAILROAD MEDICARE
—
Enumeration date
09/29/2010
Last updated
11/02/2022
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