Individual
LISA R UTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3965 W 83RD ST STE 102, PRAIRIE VILLAGE, KS 66208-5308
(913) 206-8885
Mailing address
3965 W 83RD ST STE 102, PRAIRIE VILLAGE, KS 66208-5308
(913) 206-8885
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
14-79593-071
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
14-7953-071
KS
Other
Enumeration date
03/11/2024
Last updated
09/15/2025
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