Individual
EDNA MAE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
(816) 965-1156
Mailing address
5920 WESTRIDGE RD, KANSAS CITY, MO 64133-4364
(816) 804-2071
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
127254
MO
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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