Individual
MS. BRENDA SUE SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3066 SW GRANDSTAND CIR, LEES SUMMIT, MO 64081-3866
(913) 215-5008
(816) 447-3960
Mailing address
PO BOX 875743, KANSAS CITY, MO 64187-5743
(913) 215-5008
(816) 447-3960
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5377429
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10030188901
—
NE
01
—
110034018
PTAN
KS
05
—
30003913850015
—
KS
Enumeration date
10/12/2016
Last updated
03/26/2026
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