Individual
MS. LISA R FITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, WHNP
Contact information
Practice address
200 NE 54TH ST, SUITE 111, KANSAS CITY, MO 64118-4338
(816) 455-7400
(816) 455-7404
Mailing address
200 NE 54TH ST, SUITE 111, KANSAS CITY, MO 64118-4338
(816) 455-7400
(816) 455-7404
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
099746
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
RN099746
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099746
STATE LICENSE NUMBER
MO
Enumeration date
01/22/2007
Last updated
09/24/2012
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