Individual
SHARESE YOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
8400 W 110TH ST STE 270, OVERLAND PARK, KS 66210-2468
(913) 346-6300
Mailing address
5636 KENWOOD AVE, KANSAS CITY, MO 64110-2730
(816) 882-6936
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
2014024313
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2025008228
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-84263-052
KS
Other
Enumeration date
02/10/2025
Last updated
04/15/2025
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