Individual
CORINNE LEE NILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(988) 588-7743
Mailing address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(988) 588-7743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2020034776
MO
363LF0000X
Family Nurse Practitioner
Primary
53-79726-042
KS
363LF0000X
Family Nurse Practitioner
TMP-159643
KS
Other
Enumeration date
09/22/2020
Last updated
01/26/2021
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