Individual
MICHAEL RUSH BISSETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2790 CLAY EDWARDS DR STE 520/570, NORTH KANSAS CITY, MO 64116-3276
(816) 221-6720
(816) 221-7280
Mailing address
2800 CLAY EDWARDS DRIVE,, CENTRAL VERIFICATION OFFICE AND PAYOR ENROLLMENT, NORTH KANSAS CITY, MO 64116
(816) 221-6750
(816) 221-7280
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2024042617
MO
363LA2100X
Acute Care Nurse Practitioner
5018740
NC
363LA2100X
Acute Care Nurse Practitioner
BISS-4U91G
NC
Other
Enumeration date
08/28/2023
Last updated
02/04/2026
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