Individual
SHANNON BENVENUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5808 W 110TH ST, OVERLAND PARK, KS 66211-2504
(913) 696-8000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
53-82419-042
KS
Other
Enumeration date
08/08/2023
Last updated
09/19/2023
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