Individual
LARISSA GASAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2790 CLAY EDWARDS DR STE 500, NORTH KANSAS CITY, MO 64116-3243
(816) 994-0040
(816) 994-0044
Mailing address
1923 W CATALPA ST, OLATHE, KS 66061-6017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021030684
MO
363L00000X
Nurse Practitioner
76601
KS
Other
Enumeration date
01/29/2015
Last updated
04/14/2025
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