Individual
ANDREA R BIETAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
4330 WORNALL RD STE 2000, KANSAS CITY, MO 64111-5939
(816) 931-1883
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 931-1883
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2023045998
MO
363LG0600X
Gerontology Nurse Practitioner
5381679
KS
Other
Enumeration date
01/03/2023
Last updated
02/29/2024
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