Individual
MRS. TINA FAYE SQUIRES
Active
Sole proprietor
Yes
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
3516 S EMERY ST, INDEPENDENCE, MO 64055-3444
(816) 405-0365
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
2011003992
MO
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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