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Individual

JANESE B SURBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2790 CLAY EDWARDS DR, STE 1230, NORTH KANSAS CITY, MO 64116-3276
(816) 214-9300
(816) 214-9330
Mailing address
2790 CLAY EDWARDS DR STE 600, NORTH KANSAS CITY, MO 64116-3274
(816) 561-3003
(816) 889-1584

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
154572
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
154572
LICENSE NUMBER
MO
Enumeration date
06/29/2006
Last updated
04/03/2018
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