Individual
NICOLE ANNALISE SHANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6420 W 95TH ST STE 100, OVERLAND PARK, KS 66212-1434
(913) 826-3150
(816) 508-3535
Mailing address
11503 HADLEY ST, OVERLAND PARK, KS 66210-2430
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14535
KS
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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