Individual
BRENNA PRIMROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, AGACNP-BC
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-7940
Mailing address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-7940
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2014004556
MO
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
2014004556
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014004556
LICENSE
MO
Enumeration date
02/18/2014
Last updated
03/21/2014
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