Individual
HANNAH IDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12450 BLUE VALLEY PKWY, OVERLAND PARK, KS 66213-2626
(561) 317-3279
Mailing address
11114 W 172ND TER, OVERLAND PARK, KS 66221-6607
(561) 317-3279
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-78382
KS
Other
Enumeration date
09/21/2018
Last updated
12/27/2023
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