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Individual

MARY KATHERINE EIKERMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
600 NE ADAMS DAIRY PKWY, BLUE SPRINGS, MO 64014-5493
(816) 932-4630
(816) 932-4631
Mailing address
600 NE ADAMS DAIRY PKWY, BLUE SPRINGS, MO 64014-5493
(816) 932-4630
(816) 932-4631

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2019038327
MO
363LA2100X
Acute Care Nurse Practitioner
5378984012
KS
363LA2200X
Adult Health Nurse Practitioner
2019038327
MO
363LF0000X
Family Nurse Practitioner
2019038328
MO

Other

Enumeration date
03/17/2020
Last updated
01/05/2024
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