Individual
EDONNA SYLVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4010, KANSAS CITY, KS 66160
(913) 588-1908
Mailing address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4010, KANSAS CITY, KS 66160
(913) 588-1908
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44409
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4286803201
—
KS
01
—
657870
FIRSTGUARD
KS
Enumeration date
09/15/2006
Last updated
07/08/2007
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