Individual
MIRABELL NEH BOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
4017 SW FLINTROCK DR, LEES SUMMIT, MO 64082-4872
(240) 330-0672
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2021046277
MO
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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