Individual
GREGORY NURRENBERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 889-4730
(816) 889-1847
Mailing address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 889-4730
(816) 889-1847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012003063
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124390620
—
MO
01
—
2012003063
LICENSE
MO
Enumeration date
01/31/2012
Last updated
10/12/2016
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